No Surprises definition
Examples of No Surprises in a sentence
The federal No Surprises Act contains various protections relating to surprise medical bills on services performed by Non-Participating Providers and Non-Participating Emergency Facilities.
In order to assist with plan administrator disclosure obligations under the federal No Surprises Act and Transparency in Coverage Rule, BCBSRI shall make GROUP’s health plan information and notice available on its public website in the required format.
Rescissions and certain determinations that involve whether we complied with the surprise billing requirements and cost-protections of the No Surprises Act.
If Medically Necessary covered services, excluding Emergency Services, are not available through one of our In-Network Providers we will approve a referral to an Out-of-Network Provider and issue payment to the Out-of-Network Provider at the Qualifying Paying Amount (QPA) as defined by Section 102 of the federal No Surprises Act.
However, for out of network emergencies the federal No Surprises Act applies.