The departments of Health and Human Services, Treasury and Labor today opened the online portal where health care providers and health plans can initiate the dispute resolution process for certain out-of-network medical bills under the No Surprises Act interim final rule that took effect in January. Interested parties must initiate the process within four business days after the 30-business-day open negotiation period concludes, or 15 business days from today if the claim’s open negotiation period concluded more than four days ago. 

The agencies also have opened the online portal through which uninsured and self-pay patients may initiate the patient-provider dispute resolution process related to good faith estimates; and updated their guidance for IDR entities and disputing parties to align with a federal court ruling in February that struck down certain parts of the rule related to the arbitration process for determining out-of-network payments.

Related News Articles

Headline
The Centers for Medicare & Medicaid Services yesterday released Frequently Asked Questions regarding No Surprises Act implementation. The FAQs address…
Headline
AHA yesterday urged the Centers for Medicare & Medicaid Services to extend enforcement discretion for the No Surprises Act regulatory requirement that…
Headline
The Centers for Medicare & Medicaid Services has released a new FAQ for health care providers on the No Surprises Act’s requirements and prohibitions, and…
Headline
The AHA and American Medical Association yesterday urged the U.S. District Court for the District of Columbia to act as quickly as possible to hold unlawful…
Headline
The AHA Friday urged the Centers for Medicare & Medicaid Services to evaluate and adjust the burden estimates associated with the uninsured and self-pay…
News
The Departments of Health and Human Services, Labor and the Treasury will revise their guidance on the arbitration process for determining payment for out-of-…