A Brief Summary of the No Surprises Act for Payers

Posted by Smart Data Solutions on November 22nd, 2021
Smart Data Solutions

The No Surprises Act (NSA) is the latest rule to increase transparency into medical billing. The goal is to reduce unexpected financial burden on patients when they have had no meaningful choice but to receive care from an Out-Of-Network (OON) Provider. This includes emergency and air ambulance services.

The NSA will prohibit balance billing and surprise billing by placing the administrative burden on insurance Payers to process these special cases. Both insurance Payers and healthcare Networks are preparing their workflows to comply with updates. 

The highly technical nature of healthcare administrative processing benefits from the expertise of technology Providers ingrained in the industry, such as Smart Data Solutions. Even though the NSA presents monumental change, we’re all helping one another adapt together. 

Our team’s preparation started with a shared understanding of the big players, key terminology, and important dates related to the NSA. We’ve summarized this below as a quick guide to the No Surprises Act for Payers and will update this post regularly as new information is released. 

No Surprises Act: Terminology to Know

This list is a fast reference for the most popular organizations and terminology associated with the NSA.

Key Players


A Brief Summary of the No Surprises Act for Payers 1

Important Deadlines

The No Surprises Act presents many challenges for teams who are responsible for administrative healthcare workflows. Fortunately, no one is alone with these changes. Payers can partner with technology companies such as Smart Data Solutions to create a custom plan for compliance with the NSA. 

We are offering a free NSA consultation for Payers to help analyze their current workflows and recommend next steps specific to their business needs. Request your free consultation today to get ahead of the January 1, 2022 deadline for NSA compliance. Request a Consultation Here.

A Brief Summary of the No Surprises Act for Payers 2


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