Staff
CAA 2021
No Surprises Act
This legislation provides rules and processes to protect health plan members from balance billing that may arise from non-network provider utilization that is out of the member's control. An example could be, an individual having surgery at an in-network facility, by an in-network physician, but the anesthesiologist, which they have no control over, is out of network.
Publicly Available Cost Information/Transparency in Coverage
This legislation requires health insurers and group health plans to make available negotiated rates for in-network providers and allowed amounts for out-of-network providers, derived from historical claims.
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