No Surprises Act (NSA)
Federal law (effective 2022) banning balance billing for most emergency and certain non-emergency out-of-network situations.
The No Surprises Act, enacted as part of the Consolidated Appropriations Act 2021, banned balance billing for: (1) emergency services from out-of-network providers, (2) post-stabilization care, (3) air ambulance, (4) out-of-network providers at in-network facilities. It also established the Federal Independent Dispute Resolution (IDR) process for payment disputes between OON providers and plans. Patients receive Good Faith Estimates and have access to complaints via the HHS No Surprises Help Desk (1-800-985-3059).
Frequently asked questions
What is no surprises act (nsa)?
The No Surprises Act, enacted as part of the Consolidated Appropriations Act 2021, banned balance billing for: (1) emergency services from out-of-network providers, (2) post-stabilization care, (3) air ambulance, (4) out-of-network providers at in-network facilities. It also established the Federal Independent Dispute Resolution (IDR) process for payment disputes between OON providers and plans. Patients receive Good Faith Estimates and have access to complaints via the HHS No Surprises Help Desk (1-800-985-3059).
Related terms
- Balance billingWhen an out-of-network provider bills you the difference between their charge and what your plan pai
- Federal IDR (No Surprises Act dispute resolution)The 'baseball arbitration' process between out-of-network providers and plans for NSA-covered servic
- Out-of-network (OON)A provider who doesn't have a contract with your plan. Cost-sharing is higher and you may face balan
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