Get enhanced market-based pricing with the ability to price according to median INN rates, accounting for the various factors that NSA prescribes such as acuity of patient and setting of care, reducing the risk of arbitration.
No Surprises Act with Zelis.
Address the complex requirements introduced by federal regulations through highly configurable solutions, legislative expertise, and guidance from Zelis.
Minimize the impact of new regulations.
The No Surprises Act (NSA), signed into law in December 2020, seeks to protect patients from surprise medical bills and prohibits balance billing for certain out-of-network care. The Transparency in Coverage Rule (TiC) was published in October 2020. Its transparency provisions empower consumers with better insight into the cost of services before obtaining care and receiving a bill.
Our suite of solutions helps you comply with these new regulations, improve your members’ experience, and maximize savings while minimizing provider abrasion. We provide legislative expertise and guidance to help plans manage the complexity introduced by both the NSA and the TiC Rule.
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