With the enactment of the 2022 No Surprises Act and the virtual elimination of patient balance billing, the ability to determine the eligibility of a claim from the onset is critical to meeting time-sensitive deadlines and maximizing reimbursement from insurance companies.
The complexity of the regulations and processes has overwhelmed even the most informed in the out-of-network community, and has paralyzed many from properly pursuing reimbursements, where real opportunities exist for additional payment under a shortened revenue cycle.
Our depth of understanding these complex regulations and processes, especially the application of multiple claim pathways for a single date of service, is paramount to our success when utilizing independent dispute resolution under the NSA and state law regulations.
You can access the NSA Patient Notice and Consent form here.