Banner Image

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
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
Qualified Payment Amount Calculator

Utilizes client-specific and industry data to generate defensible QPA pricing and accurate member cost-sharing numbers.

Post Payment Management
Post Payment Management

Expert negotiators with more than 25 years of experience dedicated to helping you minimize provider appeals.

Independent Dispute Resolution Support
Independent Dispute Resolution Support

Analytics, detailed documentation, and negotiators to support your position should a claim go to IDR.