As a small business, keeping up with the latest healthcare acts and deadlines can be confusing, but we've got you covered.
The No Surprises Act (NSA) helps protect consumers from surprise medical bills and removes them from payment disputes between providers, healthcare facilities, and health plans.
Centers for Medicare and Medicaid Services (CMS) Transparency in Coverage rules ensure consumers know the cost of covered items or services before receiving care.
What do I need to do for No Surprises or Transparency in Coverage deadlines?
You're all set. No action is required because our machine-readable files (MRF) are posted below:
- Payer Compass to Direct Contract Rates I
- Payer Compass to Direct Contract Rates II
- HealthSmart/ACS Network Contract Rates
- Historical Allowed
What are machine-readable files?
Machine-readable files (MRF) create transparency by sharing pricing data between insurers, providers, and third-party consumer advocates, including:
Contracted rates for all covered items and services between the plan or issuer and in-network providers
Allowed amounts for non-contracted providers
Why does transparency matter?
The new data-sharing requirements make it possible for researchers and app developers to build tools that improve consumers' ability to shop for the healthcare services that best meet their needs.