No Surprises Act Provider Disclosure Notice Checklist

Help healthcare providers and facilities, as well as health plans and insurers, understand and comply with the notice requirements of the federal No Surprises Act, enacted as Title I of Division BB of the Consolidated Appropriations Act, 2021 (CAA), Pub. L. No. 116-260. Use this checklist with providers, plans, and insurers to ensure patients receive required explanations regarding the act's protections against surprise billing. Review this checklist for key provisions of the act and the notice's intended recipients, form, and contents.

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Related Content

• Balance Billing and Other No Surprises Act Rules
  Review the principal provisions of the No Surprises Act, including balance billing and reimbursement rate rules for group health plans and health insurance issuers. In part, these rules prohibit surprise billing of participants, constrain participant cost-sharing obligations, and establish a mandatory negotiation and arbitration process to resolve reimbursement rate disputes between the plan or issuer and the service provider.
• No Surprises Act Provider Disclosure Notice
  Use this template notice to inform patients about their rights and responsibilities under the No Surprises Act. Review practical guidance, drafting notes, and alternate clauses for use in developing your healthcare clients’ notices.
• Transparency Disclosure Rules for Group Health Plans
  Learn about disclosure requirements for group health plans arising under the Patient Protection and Affordable Care Act's Transparency in Coverage Rule, 85 Fed. Reg. 72,158, as well as certain No Surprises Act provisions. Review how these rules require health plans and insurers to provide a substantial amount of cost, coverage, provider, and other coverage information to eligible and covered individuals and make rate information publicly available.

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