New Rule Released for Balance Billing

HHS has released a new rule regarding balance billing, aka the No Surprises Act.

This rule provides additional consumer protections, including:

  • A process that takes consumers out of the middle of a payment dispute between providers and health plans;
  • Requirements for health care cost estimates for uninsured (or self-pay, meaning you have coverage but choose not to have your care billed to your health plan) individuals;
  • A payment dispute resolution process for uninsured (or self-pay) individuals; and
  • Expanded rights to external review (what individuals with job-based or individual health plans can use to dispute when certain claims are denied payment, as described below).

More information can be found at the link below.