New legislation from the Consolidated Appropriations Act, 2021, applies to comprehensive individual and group health plans, including fully insured plans, self-funded ERISA plans and funds regulated by the U.S. Public Health Service Act.
Congress enacted consumer protections against surprise medical bills & for price transparency
Required For All Group Health Plans and Plan Sponsors
Mechanisms designed to empower patients as consumers
Balance billing is prohibited. Plan sponsors are liable for excess charges
Plan Sponsors are required to provide Advanced EOBs for cost estimates for scheduled services. MedExpert provides delightful and easy to read Advanced EOBs.
The law requires member access to a secure portal, an App, as well as telephonic support. MedExpert provides beautiful HIPAA compliant communication systems.
Consolidation Appropriations Act, 2021 requires compliance with Mental Health Parity and Addiction Equity Act of 2008 nonquantitative treatment limit.
MedExpert calculates and maintains “Qualifying Payment Amounts” and supports Plan Sponsors for IDR.
We will post required prices and assist with new provider network status requirements.
We support clients with access to real-time cost analysis through a credentialed portal. This generates mandatory annual reporting.
In the last decade we have introduced integrity and transparency solutions that put MedExpert at the national forefront of compliance capabilities to the No Surprises Act and the intertwined Transparency Rules.
MedExpert is the clear choice.