CHA News

Federal Departments Issue Independent Dispute Resolution Process Checklist  

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The Departments of Treasury, Labor, and Health and Human Services have issued a checklist of independent dispute resolution (IDR) process requirements for group health plans and group and individual health insurance issuers to help ensure compliance with the No Surprises Act (NSA) and its implementing regulations.  

The checklist covers key requirements of the NSA when processing claims for items and services that fall within the scope of the new surprise billing protections for emergency services, non-emergency services performed by nonparticipating providers at participating health care facilities, and air ambulance services furnished by nonparticipating providers of air ambulance services (“qualified IDR item(s) or service(s)”).   

CHA has created a resource page to help members navigate the implementation of the NSA requirements.