Navigating the No Surprises Act: The State vs. Federal Balance Billing Dilemma

Navigating the No Surprises Act: The State vs. Federal Balance Billing Dilemma

Payers grapple with the complexities of the No Surprises Act (NSA), but self-insured plans face an added challenge in states that allow plans opt-in to state laws instead of the federal law. Selecting between state or federal laws demands careful analysis of factors such as: breadth of protections, data inputs allowed for payment determinations, claims volume, and savings potential. As your out-of-network claims partner, we’ll collaborate and deploy ExpionIQ intelligence to create a financially-responsible cost-saving strategy for your plan.

Contact us to find the best strategy for your plan.