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Health plans should be mindful of how they interpret certain provisions in light of the lack of guidance.
The Consolidated Appropriations Act and No Surprises Act create numerous new burdens that health plans must comply with.
The IDR established by the No Surprises Act represents a stark departure from the far more traditional and favored settlement approach.
Out-of-network medical claims aren't just a headache for employees. They can also be a hassle for employers--and their TPAs.