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NSA’s Model Notice: Doing Your Own Thing

On November 14, 2022
It’s November, and most TPAs are neck-deep in No Surprises Act compliance. This is a busy time of year as it is – but with new, daunting requirements piled onto a TPA’s usual renewal-time craziness, this is a special year. Some have opined that the last time they had a year like this was when the ACA was first passed, and that’s saying something!

Empowering Plans: P147 – Transparency & More: Burning CAA/NSA FAQs

On October 27, 2022
In this installment of The Phia Group’s Empowering Plans podcast, attorneys Jen McCormick and Jon Jablon bring up some of the most common questions that The Phia Group’s consulting team has been asked to field over and over again. From the so-called broker compensation rules to a TPA’s obligations related to a group’s No Surprises Act compliance, Jen and Jon highlight some of the main points to keep in mind when making important decisions regarding your business.

More Twists to the IDR Process in the No Surprises Act?

On August 25, 2022
The latest final rule on the No Surprises Act has finally been released by the U.S. Departments of Health and Human Services, Labor, and Treasury. There are some important clarifications made in this latest rule, including confirmation that the Qualifying Payment Amount (QPA) is no longer the presumptive out-of-network rate.

A Spooky Surprise: NSA Regulations on IDR Released

On October 19, 2021
Are you aware of the No Surprises Act rules on independent dispute resolution? Learn about its implications for claims and appeals with The Phia Group.

A Teaser! A Rose by Any Other Name…

On October 15, 2021
Learn about the No Surprises Act, why it's important and its impact on appeals, disputes and our Plan Appointed Claim Evaluator (PACE) service.

Surprise, surprise! Analyzing the No Surprises Act Part Deux

On July 12, 2021
Wondering how surprise billing regulations will impact you? Learn about the No Surprises Act in this detailed analysis of the new rules by The Phia Group.

No Surprises Act & “Plan Websites”

On March 19, 2021
We received a great question about whether plans must host the provider list and directory on their website or can simply link to it. Read to learn more.

The “No Surprises Act,” COVID Relief, and Plan Design Changes Impacting Your Business in 2021

On January 20, 2021
After a hectic political showdown, the president has signed legislation which includes comprehensive protection from surprise medical billing. This 5,000-page bill, along with a raging pandemic and a new administration, is certain to have our industry scrambling to keep up. Join The Phia Group in a new webinar format as they discuss the COVID-19 relief bill, the impact on the industry, and everything in between. From plan design changes to updates on fiduciary duties and subrogation, we have got you covered as we ring in the New Year. Following the one-hour webinar, there will be two 30-minute breakout sessions, addressing plan design changes, stop-loss issues, and legal and regulatory updates affecting claims.

I Hate Surprises!

On December 22, 2020
The "No Surprises Act" is a proposed law that relates to "surprise" balance health insurance bills. Click to learn all about what it is and what it isn't.