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Updates on the Invalidated NSA

CMS issued a notice on September 5th stating that all eligibility determinations for single and bundled disputes submitted on or before August 3, 2023 can proceed. All the other aspects of the Federal IDR process are still suspended.  For updates, please check Payment disputes between providers and health plans | CMS

The “No Surprises” rules create new protections against out-of-network balance billing and establish a new process, called independent dispute resolution, which providers (including air ambulance providers), facilities, and health plans can use to resolve payment disputes for certain out-of-network charges.


healthcare, no surprises act, cms