Surprise Billing and Transparency Requirements

  1. Law
  2. CFR 29
  3. Labor
  4. Regulations Relating to Labor
  5. Employee Benefits Security Administration, Department of Labor
  6. Group Health Plans
  7. Rules and Regulations for Group Health Plans
  8. Surprise Billing and Transparency Requirements

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Section
2590.716-1

Basis and scope.

Section
2590.716-2

Applicability.

Section
2590.716-3

Definitions.

Section
2590.716-4

Preventing surprise medical bills for emergency services.

Section
2590.716-5

Preventing surprise medical bills for non-emergency services performed by nonparticipating providers at certain participating facilities.

Section
2590.716-6

Methodology for calculating qualifying payment amount.

Section
2590.716-7

Complaints process for surprise medical bills regarding group health plans and group health insurance coverage.

Section
2590.716 - 8

Independent dispute resolution process.

Section
2590.717-1

Preventing surprise medical bills for air ambulance services.

Section
2590.717-2

Independent dispute resolution process for air ambulance services.

Section
2590.722

Choice of health care professional.

Section
2590.725-1

Definitions.

Section
2590.725-2

Reporting requirements related to prescription drug and health care spending.

Section
2590.725-3

Aggregate reporting.

Section
2590.725-4

Required information.