No Surprises Act Solution

Solving Compliance Challenges For Self-Funded Plans

The No Surprises Act​

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.

Effective January 1, 2022.

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

Select Your Solutions Interoperable Technology Integrated With Your Plan Design

Advanced EOBs

Plan Sponsors are required to provide Advanced EOBs for cost estimates for scheduled services. MedExpert provides delightful and easy to read Advanced EOBs.

Multimodal Data Access

The law requires member access to a secure portal, an App, as well as telephonic support.  MedExpert provides beautiful HIPAA compliant communication systems.

MHPAEA NQTL Report & Analysis​

Consolidation Appropriations Act, 2021 requires compliance with Mental Health Parity and Addiction Equity Act of 2008 nonquantitative treatment limit.

“Median Rate” Calculations & IDR Preparation​

MedExpert calculates and maintains  “Qualifying Payment Amounts” and supports Plan Sponsors for IDR.

Price Transparency & Provider Network Status Verification​

We will post required prices and assist with new provider network status requirements.

Cost Analysis & Annual DOL Mandatory Reporting​

We support clients with access to real-time cost analysis through a credentialed portal. This generates mandatory annual reporting.

MedExpert Distinction

MedExpert has a well deserved reputation in applying advanced technology to medical solutions; administering integrity programs; providing a patent-pending EOB solution; building positive work relations with both members and clients; and applying logistics to deliver sophisticated solutions.

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.

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