Examples of No Surprises Act in a sentence
NOTE: The revisions to Your Plan made by this Amendment are based upon the No Surprises Act, a federal law enacted in 2020 and effective for plan years beginning on or after January 1, 2022.
Payment of BenefitsExcept as required by the No Surprises Act of the Consolidated Appropriations Act (P.L. 116-260), you may not assign, transfer, or in any way convey your Benefits under the Plan or any cause of action related to your Benefits under the Plan to a provider or to any other third party.
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.
Rescissions and certain determinations that involve whether we complied with the surprise billing requirements and cost-protections of the No Surprises Act.
On December 27, 2020, Congress enacted the No Surprises Act, “a bipartisan, bicameral deal .
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.
If the Plan is not notified and/or if the patient does not consent to such transfer, then only emergency services (and certain post-stabilization services required to be covered by the No Surprises Act) will be covered.
Certified IDR Entity means an entity responsible for conducting determinations under the No Surprises Act and that has been properly certified by the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury.
Effective January 1, 2022, the No Surprises Act (NSA)1 prohibits surprise billing in certain circumstances in which surprise billing is common (see Section 1.2 for which items and services are covered).
The No Surprises Act is a new law that was part of the Consolidated Appropriations Act.