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 reimbursements 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.
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