THIS IS DELAYED…CONSUMERS NEED TO BE AWARE OF THIS PEICE OF THE LAW!!!
Beginning in plan years that start on or after January 1, 2022 group health plans are required to provide, upon request, what the No Surprises Act refers to as an Advanced EOB. This new form is required to provide information on the estimated costs of procedures and services, especially the additional costs of non-participating providers. The request for an Advanced EOB may be made by the participant or their representative and must include the billing and diagnostic codes for the anticipated services. The Advanced EOB must then be provided within one business day of request for scheduled procedures (three business days if the request is made at least 10 business days before the scheduled procedure).