Solutions: No Surprises Act
Are you prepared for the No Surprises Act?
The No Surprises Act (NSA) takes effect January 1, 2022 and will have massive implications for the processing of out of network claims. The new regulations require complex data mining, calculations, and process flows to ensure compliance and avoid arbitration. HRGi has your solution for managing the impact of NSA.
Get compliance-ready with NSA Navigator
Claims Identification Engine
Proprietary algorithm connects multiple data points to easily identify claims covered under NSA or state balance-billing laws.
Qualified Payment Amount Calculator
Utilizes client-specific and industry data to generate defensible QPA pricing and accurate member cost-sharing numbers.
Post Payment Management
Expert negotiators with more than 25 years of experience dedicated to helping you minimize provider appeals.
Independent Dispute Resolution Support
Analytics, detailed documentation, and negotiators to support your position should a claim go to IDR.