No Surprises Act White Paper

WHAT PROVIDER NETWORK MANAGEMENT LEADERS NEED TO KNOW

A Ban On Surprise Medical Bills and New Provider Directory Accuracy Requirements

The primary elements of the No Surprises Act that will impact the operations and routines of provider directory and network adequacy leaders are requirements linked to the provider directory verification process and associated procedures. By January 1, 2022*, health plans must establish a provider directory verification process and a procedure for removing providers or facilities with unverifiable information. The repercussions of not doing anything can be costly.

Download the No Surprises Act White Paper to learn how the new requirements could affect your network adequacy and how you can maximize your chances of success. 

*These guidelines apply to self-funded plans and fully insured individual and group plans that aren’t subject to state-specific provider directory laws. 

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MORE SURPRISE BILLING PROVIDER DIRECTORY ACCURACY RESOURCES

Quest Analytics is your one-stop shop to help you prepare for the new Provider Directory Information and Provider Requirements, listed in the No Surprises Act – Protecting Patients and Improving the Accuracy of the Provider Directory Information. Explore our No Surprises Act Resource Center to stay up-to-date on the provider directory verification requirements, find preparation guides and videos to help you develop a strategic plan to meet deadlines, and learn about the solutions that can get you there quickly.

Deliver on tomorrow’s goals by planning today

We are committed to assisting our customers in their quest for accurate provider directories and adequate health networks that maintain appropriate access to care for your members.

Schedule a consultative session with one of our network management experts to discuss and determine your strategy.

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