White Paper

No-Surprises Approach to the No Surprises Act

The No Surprises Act (NSA) is a consumer protection law designed to protect patients from unexpected billing. However, compliance with the NSA has been challenging for payers, with CMS audits revealing incorrect qualified payment amount (QPA) calculations, providers continuing to send balance bills to patients, and the independent dispute resolution (IDR) process struggling to keep up with the caseload. This white paper includes:

  1. Three key strategies for payers to address the compliance challenges of NSA
  2. A self-assessment to understand the strength of your NSA strategy


Exponential Results with NSA Navigator

Exponent Health has deep expertise in out-of-network claims and the No Surprises Act. Our expertise combined with technology-driven accuracy, a strong focus on compliance, and effective provider education is delivering exceptional results.

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Only 2.4%
appeal rate during open negotiations

Only .04%
rate of claims entering into independent dispute resolution (IDR)

99% success
rate on IDR cases