Introduction to the No Surprise Act and the Consumer Guide; Part 1

The No Surprise Act:
Surprise Billing

A Consumer Guide to Navigate the Act


The “No Surprises Act” (the “Act”) was signed into law in December 2020, providing new federal protections for patients against surprise medical bills. The Act contains key consumer protections for the cost of unanticipated out-of-network medical bills, mandates fee and coverage transparency from providers and health plans and improves access to care. Key parts of the Act go into effect January 1, 2022, and will impact healthcare facilities, providers, health insurers and self-funded plans.

Nobody said this Act would make it easier for the consumer.  In fact, it could make it harder because of all the different sections and aspects of the Act.

The goal and objective of Healthcare Consumer Navigator Center is to provide the Healthcare Consumer with an all inclusive easy-to-understand guide on how to navigate Surprise Billing Act.  To make easier to follow and understand, we have broken down the into sections.  Each section explains how the Act affects the consumer and what the consumer needs to know.

Using the Guide: The Index

The No Surprise Act is over 500 pages.  The following outlines the critical parts of the Act that affect consumers.

  Introduction:  Part 1

  The Healthcare Consumer:  Part 2

  The Healthcare Service Provider:  Part 3

  The Healthcare Consumer with Insurance:  Part 4

  The Healthcare Consumer without Insurance:  Part 5

  The Healthcare Consumer Notice and Consent Provision:  Part 6

  The Healthcare Consumer Independent Dispute Resolution Process:  Part 7

  The Healthcare Consumer: Advanced EOB:  Part 8

  The Healthcare Consumer: Act Enforcement Part: 9

  The Healthcare Consumer:  How the Act Affects Physicians: Part 10

The Healthcare Consumer:  How the Act Affects Telemedicine: Part 11

More to come starting with the Consumer.

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