Post Pay Negotiation and Baseball-Style Arbitration Replace Balance Billing for Surprise Bills

Gavel, scales and legal paperwork on a table

With balance billing of the health plan member no longer allowed for certain out-of-network claims, the No Surprises Act establishes a post payment negotiation process between healthcare payors and providers if either party  is not satisfied with the payor’s initial payment. This process is similar to the patient advocacy services common to reference-based pricing programs.  […]