Self-funded plans need to check their administrative services agreements to see exactly how much responsibility they might bear for decision-making…. Who will make decisions and represent the plan when it comes to arbitration? Will it be Tom, Dick or Harry?
| Don’t Let the No Surprises Act Take Your Health Plan by Surprise
” The new rules also limit a plan’s ability to deny emergency claims…. Emergency care is defined broadly for the purposes of these rules…. [M]ost health care claims payers and processors are not prepared to run with this standard yet.” MORE >> MZQ Consulting, LLC
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