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Text of CMS Memo: Patient-Provider Dispute Resolution Administrative Fee as Established in Interim Final Rule for Surprise Billing, Part II (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
[Official Guidance] Nov. 1, 2022 "The [No Surprises Act] established a new patient-provider dispute resolution (PPDR) process which allows uninsured (or self-pay) individuals a path to challenge medical bills that are at least $400 more than the initial good faith estimate. This document details the administrative fee that uninsured (or self-pay) individuals must submit to participate in the process. For 2023, the cost to initiate a PPDR case is $25." MORE >> |
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