CMS published an FAQ on the implementation of the Consolidated Appropriations Act, 2021 regarding the good faith estimate (GFE) for uninsured or self-pay individuals.  This FAQ represents Part 3 of this FAQ series.  The FAQ clarifies that HHS is extending enforcement discretion, pending future rulemaking, for situations where GFEs for uninsured (or self-pay) individuals do not include expected charges from co-providers or co-facilities.  Find more information here.

Ending Surprise Medical Bills

See how new rules help protect people from surprise medical bills and remove consumers from payment disputes between a provider or health care facility and their health plan

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No Surprises Act

Policies & resources

Review rules and fact sheets on what No Surprises rules cover, and get additional resources with more information.

Resolving out-of-network payment disputes

Learn about out-of-network payment disputes between providers and health plans and how to start the independent dispute resolution (IDR) process, apply to become a certified independent dispute resolution entity, or submit a petition on an applicant or to revoke certification of a current IDR entity.

Consumers

Learn about rights and protections for consumers to end surprise bills and remove consumers from payment disagreements between their providers, health care facilities and health plans.

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Page Last Modified:
12/05/2022 11:47 AM