On August 19, 2022, the Departments issued final rules titled “ Requirements Related to Surprise Billing: Final Rules. Providing a way to appeal certain health plan decisions.Establishing a patient-provider dispute resolution process for uninsured (or self-paying) individuals to determine payment amounts due to a provider or facility under certain circumstances.
In October, 2021, the Departments released the “ Requirements Related to Surprise Billing Part II, ” which provides additional protections against surprise medical bills, including:
Departments of Health and Human Services, Labor, and the Treasury (the Departments) released the “ Requirements Related to Surprise Billing Part I ,” to restrict surprise billing for patients in job-based and individual health plans who get emergency care, non-emergency care from out-of-network providers at in-network facilities, and air ambulance services from out-of-network providers. Overview of rules & fact sheets Rules focused on specific protections and provisions
