No Surprises Act Resource Center

Transparency in Medical Billing.

The No Surprises Act and Transparency in Coverage rules (NSA) protect patients against financial burdens that arise from unexpected medical bills, including bills from:

  • Emergency care;
  • Non-emergency care from out-of-network providers at in-network facilities; and
  • Air ambulance services from out-of-network providers.

This Resource Center provides access to NSA information and transparency tools. MedBen will regularly update this page as more materials become available.

MedBen clients with questions regarding NSA rules are welcome to contact our Compliance Department.

Your Rights and Protections Against Surprise Medical Bills

When you get Emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. This document outlines your rights and protections against these bills.

 

This portal offers machine readable files that are made available in response to the federal Transparency in Coverage (TiC) Rule and includes negotiated services rates and out-of-network allowed amounts between health plans and health care providers.

The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data. The data is NOT intended for use by individual employers or plan members.

Self-funding Saves. MedBen Delivers.