Consolidated Appropriations Act of 2021
Consolidated Appropriations Act of 2021
No Surprises Act: This legislation provides rules and processes to protect health plan members from balance billing that may arise from non-network provider utilization that is out of the member’s control. Refer to Surprise Billing Model Notice below.
Transparency in Coverage Rule: The below link leads to the MMO machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.