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No Surprises Act < MultiPlan

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elementor-widget-button" data-id="12e94e1" data-element_type="widget" data-widget_type="button.default"> <div class="elementor-widget-container"> <div class="elementor-button-wrapper"> <a class="elementor-button elementor-button-link elementor-size-sm" href="https://www.multiplan.com/webcenter/portal/ProviderSearch" target="_blank"> <span class="elementor-button-content-wrapper"> <span class="elementor-button-text">Find a Provider</span> </span> </a> </div> </div> </div> </div> </div> </div> </section> </div> </div> </div> </header> </div> <main id="main-content" tabindex="-1"> <div data-elementor-type="wp-page" data-elementor-id="1785" class="elementor elementor-1785" data-elementor-post-type="page"> <section class="elementor-section elementor-top-section elementor-element elementor-element-ef48ad3 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle" data-id="ef48ad3" data-element_type="section" data-settings="{&quot;background_background&quot;:&quot;classic&quot;}"> <div class="elementor-background-overlay"></div> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7254ebe7" data-id="7254ebe7" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-153bbf53 elementor-widget elementor-widget-heading" data-id="153bbf53" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h1 class="elementor-heading-title elementor-size-default">End-to-end support for the No Surprises Act</h1> </div> </div> <div class="elementor-element elementor-element-a4c9baf elementor-widget elementor-widget-image" data-id="a4c9baf" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img decoding="async" width="50" height="7" src="https://www.multiplan.us/wp-content/uploads/2020/02/H1-Dash-Blue.png" class="attachment-large size-large wp-image-564" alt="" /> </div> </div> <div class="elementor-element elementor-element-15d11ef2 elementor-widget elementor-widget-text-editor" data-id="15d11ef2" data-element_type="widget" data-widget_type="text-editor.default"> <div class="elementor-widget-container"> <p>The No Surprises Act (NSA) adds a new level of complexity to paying healthcare claims. From identifying surprise bills to offering support during arbitration, MultiPlan’s services address the entire lifecycle of a surprise bill.</p> </div> </div> <div class="elementor-element elementor-element-1d566af1 elementor-widget elementor-widget-button" data-id="1d566af1" data-element_type="widget" data-widget_type="button.default"> <div class="elementor-widget-container"> <div class="elementor-button-wrapper"> <a class="elementor-button elementor-button-link elementor-size-sm" href="#Contact_Us_Surprise_Billing_Form"> <span class="elementor-button-content-wrapper"> <span class="elementor-button-text">Contact us to learn more <span aria-hidden="true">></span></span> </span> </a> </div> </div> </div> </div> </div> <div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-37386cd0" data-id="37386cd0" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-6ae5f9c elementor-widget elementor-widget-html" data-id="6ae5f9c" data-element_type="widget" data-widget_type="html.default"> <div class="elementor-widget-container"> <div class="wistia_responsive_padding" style="padding:56.25% 0 0 0;position:relative;"><div class="wistia_responsive_wrapper" style="height:100%;left:0;position:absolute;top:0;width:100%;"><iframe src="https://fast.wistia.net/embed/iframe/7pi5xny6el?seo=false&videoFoam=true" title="MultiPlan End-to-end Surprise Billing Services Video" allow="autoplay; fullscreen" allowtransparency="true" frameborder="0" scrolling="no" class="wistia_embed" name="wistia_embed" msallowfullscreen width="100%" height="100%"></iframe></div></div> <script src="https://fast.wistia.net/assets/external/E-v1.js" async></script> </div> </div> </div> </div> </div> </section> <section class="elementor-section elementor-top-section elementor-element elementor-element-7305d562 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="7305d562" data-element_type="section" data-settings="{&quot;background_background&quot;:&quot;classic&quot;}"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-40bd720e" data-id="40bd720e" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-35276655 elementor-widget elementor-widget-global elementor-global-578 elementor-widget-breadcrumbs" data-id="35276655" data-element_type="widget" data-widget_type="breadcrumbs.default"> <div class="elementor-widget-container"> <p id="breadcrumbs"><span><span><a href="https://www.multiplan.us/">Home</a></span> &gt; <span class="breadcrumb_last" aria-current="page">No Surprises Act</span></span></p> </div> </div> </div> </div> </div> </section> <section class="elementor-section elementor-top-section elementor-element elementor-element-1d55d01c elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="1d55d01c" data-element_type="section" data-settings="{&quot;background_background&quot;:&quot;classic&quot;}"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3c40df76" data-id="3c40df76" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-2c7c8e75 elementor-widget elementor-widget-heading" data-id="2c7c8e75" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-default">Our End-to-End Surprise Billing Service</h2> </div> </div> <div class="elementor-element elementor-element-28a6fd2a elementor-widget elementor-widget-image" data-id="28a6fd2a" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img decoding="async" width="35" height="5" src="https://www.multiplan.us/wp-content/uploads/2020/01/H3BlueDash.jpg" class="attachment-large size-large wp-image-331" alt="" /> </div> </div> <div class="elementor-element elementor-element-5316c027 elementor-widget elementor-widget-text-editor" data-id="5316c027" data-element_type="widget" data-widget_type="text-editor.default"> <div class="elementor-widget-container"> <p>With expertise in every step of the process, we can administer the entire NSA process on your behalf. Our easy-to-implement services can help your organization achieve compliance quickly.</p> </div> </div> <section class="elementor-section elementor-inner-section elementor-element elementor-element-b283f05 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="b283f05" data-element_type="section"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-72e2e0f" data-id="72e2e0f" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-c6afb60 elementor-cta--valign-middle elementor-cta--layout-image-left elementor-cta--skin-classic elementor-animated-content elementor-invisible elementor-widget elementor-widget-call-to-action" data-id="c6afb60" data-element_type="widget" data-settings="{&quot;_animation&quot;:&quot;slideInUp&quot;,&quot;_animation_delay&quot;:100}" data-widget_type="call-to-action.default"> <div class="elementor-widget-container"> <div class="elementor-cta"> <div class="elementor-cta__content"> <div class="elementor-content-item elementor-cta__content-item elementor-cta__image"> <img decoding="async" src="https://www.multiplan.us/wp-content/uploads/elementor/thumbs/magnify-icon-ppou6r7s8yvcq2mhk7urdk8ys488dmyaa6uf53o1z6.png" title="" alt="magnifying glass" loading="lazy" /> </div> <h3 class="elementor-cta__title elementor-cta__content-item elementor-content-item"> Identify Surprise Bill </h3> <div class="elementor-cta__description elementor-cta__content-item elementor-content-item"> We examine billing codes, facility network status and episodes of care for your primary network(s) and ours. </div> </div> <div class="elementor-ribbon"> <div class="elementor-ribbon-inner">1</div> </div> </div> </div> </div> </div> </div> <div class="elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-524eb9c" data-id="524eb9c" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-bdf7c85 elementor-cta--valign-middle elementor-cta--skin-classic elementor-animated-content elementor-invisible elementor-widget elementor-widget-call-to-action" data-id="bdf7c85" data-element_type="widget" data-settings="{&quot;_animation&quot;:&quot;slideInUp&quot;,&quot;_animation_delay&quot;:200}" data-widget_type="call-to-action.default"> <div class="elementor-widget-container"> <div class="elementor-cta"> <div class="elementor-cta__content"> <div class="elementor-content-item elementor-cta__content-item elementor-cta__image"> <img decoding="async" src="https://www.multiplan.us/wp-content/uploads/elementor/thumbs/Calculator-icon-ppoul9u1ogv6x4ges7jgj02f003kirgla7nnk3qxsw.png" title="" alt="calculator" loading="lazy" /> </div> <h3 class="elementor-cta__title elementor-cta__content-item elementor-content-item"> Calculate and Append QPA </h3> <div class="elementor-cta__description elementor-cta__content-item elementor-content-item"> We calculate the Qualifying Payment Amount (QPA) and include it on the processed claim so that you can complete the adjudication. </div> </div> <div class="elementor-ribbon"> <div class="elementor-ribbon-inner">2</div> </div> </div> </div> </div> </div> </div> <div class="elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-88195cc" data-id="88195cc" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-721e208 elementor-cta--valign-middle elementor-cta--skin-classic elementor-animated-content elementor-invisible elementor-widget elementor-widget-call-to-action" data-id="721e208" data-element_type="widget" data-settings="{&quot;_animation&quot;:&quot;slideInUp&quot;,&quot;_animation_delay&quot;:300}" data-widget_type="call-to-action.default"> <div class="elementor-widget-container"> <div class="elementor-cta"> <div class="elementor-cta__content"> <div class="elementor-content-item elementor-cta__content-item elementor-cta__image"> <img decoding="async" src="https://www.multiplan.us/wp-content/uploads/elementor/thumbs/price-icon-ppoul8w7mwa7ja6wqu72sdv5omx3e63sxvp1ru9ehi.png" title="" alt="price tag" loading="lazy" /> </div> <h3 class="elementor-cta__title elementor-cta__content-item elementor-content-item"> Price Claim </h3> <div class="elementor-cta__description elementor-cta__content-item elementor-content-item"> We can reprice claims at QPA or an amount just below or above it. Alternatively, we can use another of our Analytics-Based services to determine a fair amount that providers are likely <br/>to accept. </div> </div> <div class="elementor-ribbon"> <div class="elementor-ribbon-inner">3</div> </div> </div> </div> </div> </div> </div> <div class="elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-9b5f66c" data-id="9b5f66c" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-2e6da58 elementor-cta--valign-middle elementor-cta--skin-classic elementor-animated-content elementor-invisible elementor-widget elementor-widget-call-to-action" data-id="2e6da58" data-element_type="widget" data-settings="{&quot;_animation&quot;:&quot;slideInUp&quot;,&quot;_animation_delay&quot;:400}" data-widget_type="call-to-action.default"> <div class="elementor-widget-container"> <div class="elementor-cta"> <div class="elementor-cta__content"> <div class="elementor-content-item elementor-cta__content-item elementor-cta__image"> <img decoding="async" src="https://www.multiplan.us/wp-content/uploads/elementor/thumbs/chat-icon-ppoularvydezmfkpfpwe8x8nu8dgg9r1g81niyzi1m.png" title="" alt="chat bubbles" loading="lazy" /> </div> <h3 class="elementor-cta__title elementor-cta__content-item elementor-content-item"> Negotiate Settlement </h3> <div class="elementor-cta__description elementor-cta__content-item elementor-content-item"> Providers that reject the initial payment contact us to start the process. We leverage technology, data, and experienced staff <br/>to negotiate <br/> a settlement. </div> </div> <div class="elementor-ribbon"> <div class="elementor-ribbon-inner">4</div> </div> </div> </div> </div> </div> </div> <div class="elementor-column elementor-col-20 elementor-inner-column elementor-element elementor-element-a92cea3" data-id="a92cea3" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-fe297af elementor-cta--valign-middle elementor-cta--skin-classic elementor-animated-content elementor-invisible elementor-widget elementor-widget-call-to-action" data-id="fe297af" data-element_type="widget" data-settings="{&quot;_animation&quot;:&quot;slideInUp&quot;,&quot;_animation_delay&quot;:500}" data-widget_type="call-to-action.default"> <div class="elementor-widget-container"> <div class="elementor-cta"> <div class="elementor-cta__content"> <div class="elementor-content-item elementor-cta__content-item elementor-cta__image"> <img decoding="async" src="https://www.multiplan.us/wp-content/uploads/elementor/thumbs/gavel-icon-ppoul7ydjkjsi6p13r5y3t55xxibkji19m65f8m6d0.png" title="" alt="gavel" loading="lazy" /> </div> <h3 class="elementor-cta__title elementor-cta__content-item elementor-content-item"> Arbitrate </h3> <div class="elementor-cta__description elementor-cta__content-item elementor-content-item"> When settlement isn't reached, we’ll own the IDR process from start to finish. In calculating a payment offer, we analyze data from millions of claims, actual facility costs, and more. </div> </div> <div class="elementor-ribbon"> <div class="elementor-ribbon-inner">5</div> </div> </div> </div> </div> </div> </div> </div> </section> </div> </div> </div> </section> <section class="elementor-section elementor-top-section elementor-element elementor-element-6be20cb4 elementor-reverse-tablet elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="6be20cb4" data-element_type="section" data-settings="{&quot;background_background&quot;:&quot;classic&quot;}"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-763c3eec" data-id="763c3eec" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-402abe1b elementor-widget elementor-widget-heading" data-id="402abe1b" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-default">How our flexibility helps you meet the new requirements</h2> </div> </div> <div class="elementor-element elementor-element-1640438a elementor-widget elementor-widget-image" data-id="1640438a" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img loading="lazy" decoding="async" width="38" height="5" src="https://www.multiplan.us/wp-content/uploads/2020/01/H2-WhiteDash.jpg" class="attachment-large size-large wp-image-336" alt="" /> </div> </div> <div class="elementor-element elementor-element-d8682f3 elementor-widget elementor-widget-text-editor" data-id="d8682f3" data-element_type="widget" data-widget_type="text-editor.default"> <div class="elementor-widget-container"> <div><p><span data-contrast="none">The No Surprises Act became effective January 1, 2022. How have the requirements impacted your operations? Whether you leverage our end-to-end (No Surprises Act) NSA services or partner with us for specific needs, our flexible approach can simplify things for you. Our team works with your organization to determine the right solution to help your organization comply. </span><span data-ccp-props="{"> </span></p></div><p><b><span data-contrast="none">This isn’t new to us.</span></b><span data-contrast="none"> In fact, we’ve been supporting our clients with many of these services for years. Whether negotiating to avoid arbitration, building complementary networks or determining the appropriate payment amount, we’re experts and can deliver top-level support for your organization’s NSA support needs. Let us build a NSA Machine that will work for your organization.</span></p> </div> </div> </div> </div> <div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-43be638 elementor-hidden-phone" data-id="43be638" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-3f17028 elementor-widget elementor-widget-html" data-id="3f17028" data-element_type="widget" data-widget_type="html.default"> <div class="elementor-widget-container"> <svg id="ej25kxTy7ai1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" viewBox="45 15 600 400" shape-rendering="geometricPrecision" text-rendering="geometricPrecision" role="presentation"><g transform="translate(.000001 0)"><rect width="200" height="178.49" rx="0" ry="0" transform="matrix(.75 0 0 0.75 365 64.066247)" fill="#003057" stroke="#009cda" stroke-width="0.5" stroke-miterlimit="10"/><rect 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</script> </svg> </div> </div> </div> </div> </div> </section> <section class="elementor-section elementor-top-section elementor-element elementor-element-5b4e95e elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle" data-id="5b4e95e" data-element_type="section" data-settings="{&quot;background_background&quot;:&quot;classic&quot;}"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-62bc822a" data-id="62bc822a" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-2f74dbd7 elementor-widget elementor-widget-heading" data-id="2f74dbd7" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-default">Read more about the No Surprises Act</h2> </div> </div> <div class="elementor-element elementor-element-3eab642a elementor-widget elementor-widget-image" data-id="3eab642a" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img decoding="async" width="35" height="5" src="https://www.multiplan.us/wp-content/uploads/2020/01/H3BlueDash.jpg" class="attachment-large size-large wp-image-331" alt="" /> </div> </div> <div class="elementor-element elementor-element-5c2d3fbe elementor-widget elementor-widget-spacer" data-id="5c2d3fbe" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-5676209e elementor-grid-4 elementor-grid-tablet-2 elementor-grid-mobile-1 elementor-posts--thumbnail-top elementor-card-shadow-yes elementor-posts__hover-gradient elementor-widget 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Administration Releases New Guidance on QPA Calculations and Reopens the Portal for New Disputes </a> </h3> <a class="elementor-post__read-more" href="https://www.multiplan.us/biden-administration-releases-new-guidance-on-qpa-calculations-and-reopens-the-portal-for-new-disputes/" aria-label="Read more about Biden Administration Releases New Guidance on QPA Calculations and Reopens the Portal for New Disputes" tabindex="-1" > Read More <span aria-hidden="true">&gt;</span> </a> </div> </div> </article> </div> </div> </div> </div> </div> </div> </section> <section class="elementor-section elementor-top-section elementor-element elementor-element-f9eaf12 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle" data-id="f9eaf12" data-element_type="section" data-settings="{&quot;background_background&quot;:&quot;classic&quot;}"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-289af051" data-id="289af051" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-28732583 elementor-widget elementor-widget-image" data-id="28732583" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img loading="lazy" decoding="async" width="800" height="1068" src="https://www.multiplan.us/wp-content/uploads/2021/10/ambulance-air-1.jpg" class="attachment-large size-large wp-image-1803" alt="" srcset="https://www.multiplan.us/wp-content/uploads/2021/10/ambulance-air-1.jpg 974w, https://www.multiplan.us/wp-content/uploads/2021/10/ambulance-air-1-225x300.jpg 225w, https://www.multiplan.us/wp-content/uploads/2021/10/ambulance-air-1-768x1025.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" /> </div> </div> </div> </div> <div class="elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-13916357" data-id="13916357" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-f25b6df elementor-widget elementor-widget-heading" data-id="f25b6df" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-default">FAQs</h2> </div> </div> <div class="elementor-element elementor-element-6be6353d elementor-widget elementor-widget-image" data-id="6be6353d" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img decoding="async" width="35" height="5" src="https://www.multiplan.us/wp-content/uploads/2020/01/H3BlueDash.jpg" class="attachment-large size-large wp-image-331" alt="" /> </div> </div> <div class="elementor-element elementor-element-6429960d elementor-widget elementor-widget-spacer" data-id="6429960d" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-7dc11e0a elementor-widget elementor-widget-toggle" data-id="7dc11e0a" data-element_type="widget" data-widget_type="toggle.default"> <div class="elementor-widget-container"> <div class="elementor-toggle"> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2101" class="elementor-tab-title" data-tab="1" role="button" aria-controls="elementor-tab-content-2101" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">What is a surprise bill? </a> </h3> <div id="elementor-tab-content-2101" class="elementor-tab-content elementor-clearfix" data-tab="1" role="region" aria-labelledby="elementor-tab-title-2101"><p>Surprise medical bills occur when patients are treated by out-of-network (OON) providers under circumstances where they are unable to plan for or avoid the OON service (e.g., emergency care). Surprise bills can also occur when a patient is unknowingly treated by an out-of-network provider at an in-network facility such as a hospital. Usually, the out-of-network provider sends a bill to the patient’s insurance company, which pays a certain amount for the services. The remainder, or balance, of the bill is then sent to the patient. </p></div> </div> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2102" class="elementor-tab-title" data-tab="2" role="button" aria-controls="elementor-tab-content-2102" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">What sort of healthcare claims are affected by the NSA? </a> </h3> <div id="elementor-tab-content-2102" class="elementor-tab-content elementor-clearfix" data-tab="2" role="region" aria-labelledby="elementor-tab-title-2102"><p>The NSA covers claims related to emergency services from the point of a patient’s evaluation and treatment until they were stabilized and can consent to being transferred to an in-network facility. It covers air ambulances but not ground ambulances.</p><p>The NSA also covers claims related to non-emergency services when they are provided at an in-network facility by an out-of-network provider.</p></div> </div> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2103" class="elementor-tab-title" data-tab="3" role="button" aria-controls="elementor-tab-content-2103" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">When did the No Surprises Act rules go into effect? </a> </h3> <div id="elementor-tab-content-2103" class="elementor-tab-content elementor-clearfix" data-tab="3" role="region" aria-labelledby="elementor-tab-title-2103"><p><span class="TextRun SCXW156952181 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW156952181 BCX0">The new law </span></span><span class="TextRun Highlight SCXW156952181 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW156952181 BCX0">is </span><span class="NormalTextRun SCXW156952181 BCX0">effect</span><span class="NormalTextRun SCXW156952181 BCX0">ive</span></span><span class="TextRun SCXW156952181 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW156952181 BCX0"> for health plan years beginning on or after January 1, 2022.</span></span></p></div> </div> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2104" class="elementor-tab-title" data-tab="4" role="button" aria-controls="elementor-tab-content-2104" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">What is a QPA (Qualifying payment amount)? </a> </h3> <div id="elementor-tab-content-2104" class="elementor-tab-content elementor-clearfix" data-tab="4" role="region" aria-labelledby="elementor-tab-title-2104"><p>QPA is a term introduced by the No Surprises Act (NSA). It is the plan’s median contracted rate for a specific service in the same geographic region within the same insurance market — the middle amount in an ascending or descending list of contracted rates, adjusted for market consumer price index in urban areas (CPIU). It’s important because it <span class="TextRun Highlight SCXW25513135 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW25513135 BCX0">is one of the factors considered</span></span> during the arbitration process if a provider does not agree with the payor’s initial payment, negotiations are unsuccessful and the Independent Dispute Resolution process is invoked.  In most cases, the member cost share is based on QPA rather than the allowed amount. <span class="TextRun SCXW143395531 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW143395531 BCX0">QPA is also used to determine member cost share.</span></span></p></div> </div> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2105" class="elementor-tab-title" data-tab="5" role="button" aria-controls="elementor-tab-content-2105" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">How can healthcare payors avoid arbitration under the NSA? </a> </h3> <div id="elementor-tab-content-2105" class="elementor-tab-content elementor-clearfix" data-tab="5" role="region" aria-labelledby="elementor-tab-title-2105"><p>Payors and providers go to arbitration under the NSA when they cannot agree on the amount of a payment for the providers’ services.  Before bringing a case to arbitration, the parties must try to negotiate a settlement on their own. Either party has up to 30 days after the payor makes an initial payment to begin the negotiation process, and the negotiation must be open for at least 30 days. If the two sides can’t negotiate a settlement, either party can initiate the independent dispute resolution (IDR) process, also known as arbitration. </p></div> </div> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2106" class="elementor-tab-title" data-tab="6" role="button" aria-controls="elementor-tab-content-2106" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">Does the No Surprises Act apply to plans that don’t use networks/reference-based pricing without a network?</a> </h3> <div id="elementor-tab-content-2106" class="elementor-tab-content elementor-clearfix" data-tab="6" role="region" aria-labelledby="elementor-tab-title-2106"><p>Yes. The Interim Final Rule (IFR) published in July 2021 and a FAQ published with the August 19, 2022 Final Rule made clear that the No Surprises Act applies to claims that don’t use a network. The requirements are primarily limited to emergency services and air ambulance services for health plans that do not use a provider network, or that use a partial network (e.g., providers only, but no facilities). However, the IFR also stated that agreements between the RBP vendor and a facility would have to be considered as an “in network” facility for purposes of identifying surprise bills. The FAQ further clarifies that these plans are expected to use the QPA as required under the NSA – to determine the member’s cost sharing and as disclosure to the provider with reimbursement. The departments direct these plans to use an eligible database to calculate QPA.</p></div> </div> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2107" class="elementor-tab-title" data-tab="7" role="button" aria-controls="elementor-tab-content-2107" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">If members receive a balance bill for a service covered by the No Surprises Act, what should they do?</a> </h3> <div id="elementor-tab-content-2107" class="elementor-tab-content elementor-clearfix" data-tab="7" role="region" aria-labelledby="elementor-tab-title-2107"><p><span style="font-weight: var( --e-global-typography-text-font-weight );">We recommend that the member contact their health plan </span><span style="font-weight: var( --e-global-typography-text-font-weight );">or visit </span><span style="text-decoration: underline;"><span style="color: #007839;"><a style="font-weight: var( --e-global-typography-text-font-weight ); color: #007839;" href="https://www.cms.gov/nosurprises/consumers" target="_blank" rel="noopener"><strong>https://www.cms.gov/nosurprises/consumers</strong></a></span></span><span style="font-weight: var( --e-global-typography-text-font-weight );"> for information.</span></p></div> </div> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2108" class="elementor-tab-title" data-tab="8" role="button" aria-controls="elementor-tab-content-2108" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">What is the Recognized Amount?</a> </h3> <div id="elementor-tab-content-2108" class="elementor-tab-content elementor-clearfix" data-tab="8" role="region" aria-labelledby="elementor-tab-title-2108"><p><span class="TextRun SCXW252080228 BCX0" lang="EN-US" xml:lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW252080228 BCX0">Under the No Surprises Act (NSA), </span><span class="NormalTextRun SCXW252080228 BCX0">the member’s</span><span class="NormalTextRun SCXW252080228 BCX0"> cost</span><span class="NormalTextRun SCXW252080228 BCX0"> share </span><span class="NormalTextRun SCXW252080228 BCX0">of claims that qualify as surprise bills </span><span class="NormalTextRun SCXW252080228 BCX0">must be based on what the new </span><span class="NormalTextRun SCXW252080228 BCX0">law calls the Recognized Amount (RA). </span><span class="NormalTextRun SCXW252080228 BCX0">For most ERISA plans, </span><span class="NormalTextRun SCXW252080228 BCX0">the </span><span class="NormalTextRun SCXW252080228 BCX0">RA is the lesser of billed charges or the Qualifying Payment Amount. For insured claims regulated under state surprise bill laws or All-Payer Model Agreements, or ERISA plans that have opted in to such laws, the RA may be determined by the state law.</span></span><span class="EOP SCXW252080228 BCX0" data-ccp-props="{&quot;201341983&quot;:0,&quot;335559740&quot;:259}"> </span></p></div> </div> <div class="elementor-toggle-item"> <h3 id="elementor-tab-title-2109" class="elementor-tab-title" data-tab="9" role="button" aria-controls="elementor-tab-content-2109" aria-expanded="false"> <span class="elementor-toggle-icon elementor-toggle-icon-left" aria-hidden="true"> <span class="elementor-toggle-icon-closed"><i class="fas fa-caret-right"></i></span> <span class="elementor-toggle-icon-opened"><i class="elementor-toggle-icon-opened fas fa-caret-up"></i></span> </span> <a class="elementor-toggle-title" tabindex="0">What do machine readable files have to do with the No Surprises Act?</a> </h3> <div id="elementor-tab-content-2109" class="elementor-tab-content elementor-clearfix" data-tab="9" role="region" aria-labelledby="elementor-tab-title-2109"><p><span data-contrast="auto">The requirement relating to machine readable files is related to the Transparency in Coverage mandate, not the NSA. The mandate requires health plans to post the following files publicly in non-proprietary machine</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559740&quot;:259}"> </span></p><p><span data-contrast="auto">readable format and update the files monthly.</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559740&quot;:259}"> </span></p><ul><li data-leveltext="" data-font="Symbol" data-listid="7" aria-setsize="-1" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">In-network negotiated rate files</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559740&quot;:259}"> </span></li><li data-leveltext="" data-font="Symbol" data-listid="7" aria-setsize="-1" data-aria-posinset="2" data-aria-level="1"><span data-contrast="auto">Out-of-network allowed amount files</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559740&quot;:259}"> </span></li><li data-leveltext="" data-font="Symbol" data-listid="7" aria-setsize="-1" data-aria-posinset="3" data-aria-level="1"><span data-contrast="auto">In-network negotiated prescription drug files</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559740&quot;:259}"> </span></li></ul><p><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559740&quot;:259}"> </span></p><p><span data-contrast="auto">The effective date of this requirement has been postponed from January 1, 2022 to July 1, 2022.</span><span data-ccp-props="{&quot;201341983&quot;:0,&quot;335559740&quot;:259}"> </span></p></div> </div> </div> </div> </div> </div> </div> </div> </section> <section class="elementor-section elementor-top-section elementor-element elementor-element-59ba8c65 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle" data-id="59ba8c65" data-element_type="section"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-39750eef" data-id="39750eef" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-72dfd14f elementor-widget elementor-widget-menu-anchor" data-id="72dfd14f" data-element_type="widget" data-widget_type="menu-anchor.default"> <div class="elementor-widget-container"> <div class="elementor-menu-anchor" id="Contact_Us_Surprise_Billing_Form"></div> </div> </div> <div class="elementor-element elementor-element-26f8625d elementor-widget elementor-widget-spacer" data-id="26f8625d" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <section class="elementor-section elementor-inner-section elementor-element elementor-element-2483cb01 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="2483cb01" data-element_type="section"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-565581be" data-id="565581be" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-1cf53537 elementor-widget elementor-widget-spacer" data-id="1cf53537" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-777dbac8 elementor-widget elementor-widget-heading" data-id="777dbac8" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-default">New requirements began in January 2022</h2> </div> </div> <div class="elementor-element elementor-element-7e30d40f elementor-widget elementor-widget-image" data-id="7e30d40f" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img decoding="async" width="35" height="5" src="https://www.multiplan.us/wp-content/uploads/2020/01/H3BlueDash.jpg" class="attachment-large size-large wp-image-331" alt="" /> </div> </div> <div class="elementor-element elementor-element-55cbde0a elementor-widget elementor-widget-text-editor" data-id="55cbde0a" data-element_type="widget" data-widget_type="text-editor.default"> <div class="elementor-widget-container"> <p>Get started today by filling out the form. 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class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://provider.multiplan.com/webcenter/portal/provider" target="_blank"> <span class="elementor-icon-list-text">Provider Portal Log In</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.com/nominate/nominate.cfm?type=join" target="_blank"> <span class="elementor-icon-list-text">Join our Networks</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/philanthropic-programs/"> <span class="elementor-icon-list-text">Philanthropic Programs</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/providers/"> <span class="elementor-icon-list-text">Provider Handbooks</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/providers/healthcare-provider-faqs/"> <span class="elementor-icon-list-text">Healthcare Provider FAQs</span> </a> </li> </ul> </div> </div> </div> </div> <div class="elementor-column elementor-col-16 elementor-inner-column elementor-element elementor-element-22a61d1c" data-id="22a61d1c" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-3fcefde2 elementor-widget elementor-widget-heading" data-id="3fcefde2" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">Services</h2> </div> </div> <div class="elementor-element elementor-element-2f133fcc elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="2f133fcc" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/services/analytics-based/"> <span class="elementor-icon-list-text">Analytics-Based</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/data-decision-science-services/"> <span class="elementor-icon-list-text">Data & Decision Science Services</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/services/network-based/"> <span class="elementor-icon-list-text">Network-Based</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/services/medical-payment-integrity/"> <span class="elementor-icon-list-text">Payment and Revenue Integrity</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/knowledgehub/"> <span class="elementor-icon-list-text">Services in Action</span> </a> </li> </ul> </div> </div> <div class="elementor-element elementor-element-d373e39 elementor-widget elementor-widget-spacer" data-id="d373e39" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-d06cfec elementor-widget elementor-widget-heading" data-id="d06cfec" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">For Payors</h2> </div> </div> <div class="elementor-element elementor-element-df93bd8 elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="df93bd8" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://client.multiplan.com/webcenter/portal/client" target="_blank"> <span class="elementor-icon-list-text">Payor Portal Log In</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/payers/"> <span class="elementor-icon-list-text">Self-Service Tools</span> </a> </li> </ul> </div> </div> </div> </div> <div class="elementor-column elementor-col-16 elementor-inner-column elementor-element elementor-element-cef6487" data-id="cef6487" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-8667f01 elementor-widget elementor-widget-heading" data-id="8667f01" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">Markets</h2> </div> </div> <div class="elementor-element elementor-element-29d610c elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="29d610c" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/markets/commercial/"> <span class="elementor-icon-list-text">Commercial</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/markets/property-and-casualty/"> <span class="elementor-icon-list-text">Property & Casualty</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/markets/government/"> <span class="elementor-icon-list-text">Government</span> </a> </li> </ul> </div> </div> <div class="elementor-element elementor-element-7426dc1 elementor-widget elementor-widget-spacer" data-id="7426dc1" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-7049fd9 elementor-widget elementor-widget-heading" data-id="7049fd9" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small"><a href="https://www.multiplan.us/members/">For Health Plan Members</a></h2> </div> </div> <div class="elementor-element elementor-element-0a1b31a elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="0a1b31a" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.com/webcenter/portal/ProviderSearch" target="_blank"> <span class="elementor-icon-list-text">Find a Provider</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.com/nominate/nominate.cfm?type=patient" target="_blank"> <span class="elementor-icon-list-text">Nominate a Provider</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/members/"> <span class="elementor-icon-list-text">Health Plan Member FAQs</span> </a> </li> </ul> </div> </div> </div> </div> <div class="elementor-column elementor-col-16 elementor-inner-column elementor-element elementor-element-8dae249" data-id="8dae249" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-1fa133d7 elementor-widget elementor-widget-heading" data-id="1fa133d7" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">Connect With Us</h2> </div> </div> <div class="elementor-element elementor-element-dd01187 elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="dd01187" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.facebook.com/MultiPlanInc/" target="_blank"> <span class="elementor-icon-list-text">Facebook</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.linkedin.com/company/multiplan" target="_blank"> <span class="elementor-icon-list-text">LinkedIn</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://twitter.com/MultiPlan_Inc" target="_blank"> <span class="elementor-icon-list-text">Twitter</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/contact-us/"> <span class="elementor-icon-list-text">Contact Us</span> </a> </li> </ul> </div> </div> </div> </div> <div class="elementor-column elementor-col-16 elementor-inner-column elementor-element elementor-element-82e740a" data-id="82e740a" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-73355ef elementor-widget-mobile__width-initial elementor-widget elementor-widget-image" data-id="73355ef" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img width="4042" height="6918" src="https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare.png" class="attachment-full size-full wp-image-3799" alt="" srcset="https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare.png 4042w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-175x300.png 175w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-1461x2500.png 1461w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-768x1314.png 768w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-897x1536.png 897w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-1197x2048.png 1197w" sizes="(max-width: 4042px) 100vw, 4042px" /> </div> </div> </div> </div> <div class="elementor-column elementor-col-16 elementor-inner-column elementor-element elementor-element-36d77cb" data-id="36d77cb" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-6d4e3a2 elementor-widget-mobile__width-initial elementor-widget__width-initial elementor-widget elementor-widget-image" data-id="6d4e3a2" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img width="2480" height="3508" src="https://www.multiplan.us/wp-content/uploads/2024/08/MultiPlan_US_English_2024_Certification_Badge.png" class="attachment-full size-full wp-image-3685" alt="" srcset="https://www.multiplan.us/wp-content/uploads/2024/08/MultiPlan_US_English_2024_Certification_Badge.png 2480w, https://www.multiplan.us/wp-content/uploads/2024/08/MultiPlan_US_English_2024_Certification_Badge-212x300.png 212w, https://www.multiplan.us/wp-content/uploads/2024/08/MultiPlan_US_English_2024_Certification_Badge-1767x2500.png 1767w, https://www.multiplan.us/wp-content/uploads/2024/08/MultiPlan_US_English_2024_Certification_Badge-768x1086.png 768w, https://www.multiplan.us/wp-content/uploads/2024/08/MultiPlan_US_English_2024_Certification_Badge-1086x1536.png 1086w, https://www.multiplan.us/wp-content/uploads/2024/08/MultiPlan_US_English_2024_Certification_Badge-1448x2048.png 1448w" sizes="(max-width: 2480px) 100vw, 2480px" /> </div> </div> </div> </div> </div> </section> <section class="elementor-section elementor-inner-section elementor-element elementor-element-812b6a0 elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="812b6a0" data-element_type="section"> <div class="elementor-container elementor-column-gap-default"> <div class="elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a684dbe" data-id="a684dbe" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-0a803a5 elementor-widget elementor-widget-heading" data-id="0a803a5" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">About Us</h2> </div> </div> <div class="elementor-element elementor-element-29b9a70 elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="29b9a70" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/company/"> <span class="elementor-icon-list-text">Company</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/careers/"> <span class="elementor-icon-list-text">Careers</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://investors.multiplan.us/" target="_blank"> <span class="elementor-icon-list-text">Investors</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/company/leadership-team/"> <span class="elementor-icon-list-text">Leadership</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/company/in-the-news/"> <span class="elementor-icon-list-text">News</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/corporate-responsibility/"> <span class="elementor-icon-list-text">Corporate Responsibility</span> </a> </li> </ul> </div> </div> <div class="elementor-element elementor-element-bcc8413 elementor-widget elementor-widget-spacer" data-id="bcc8413" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-1972911 elementor-widget elementor-widget-heading" data-id="1972911" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">For Healthcare Providers</h2> </div> </div> <div class="elementor-element elementor-element-74cb1fa elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="74cb1fa" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://provider.multiplan.com/webcenter/portal/provider" target="_blank"> <span class="elementor-icon-list-text">Provider Portal Log In</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.com/nominate/nominate.cfm?type=join" target="_blank"> <span class="elementor-icon-list-text">Join our Networks</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/philanthropic-programs/"> <span class="elementor-icon-list-text">Philanthropic Programs</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/providers/"> <span class="elementor-icon-list-text">Provider Handbooks</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/providers/healthcare-provider-faqs/"> <span class="elementor-icon-list-text">Healthcare Provider FAQs</span> </a> </li> </ul> </div> </div> <div class="elementor-element elementor-element-ef54129 elementor-widget elementor-widget-spacer" data-id="ef54129" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-e057873 elementor-widget elementor-widget-heading" data-id="e057873" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small"><a href="https://www.multiplan.us/members/">For Health Plan Members</a></h2> </div> </div> <div class="elementor-element elementor-element-1e9e062 elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="1e9e062" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.com/webcenter/portal/ProviderSearch" target="_blank"> <span class="elementor-icon-list-text">Find a Provider</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.com/nominate/nominate.cfm?type=patient" target="_blank"> <span class="elementor-icon-list-text">Nominate a Provider</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/members/"> <span class="elementor-icon-list-text">Health Plan Member FAQs</span> </a> </li> </ul> </div> </div> <div class="elementor-element elementor-element-6afbee1 elementor-widget elementor-widget-spacer" data-id="6afbee1" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-07cf93b elementor-widget-mobile__width-initial elementor-hidden-mobile elementor-widget elementor-widget-image" data-id="07cf93b" data-element_type="widget" data-widget_type="image.default"> <div class="elementor-widget-container"> <img width="4042" height="6918" src="https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare.png" class="attachment-full size-full wp-image-3799" alt="" srcset="https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare.png 4042w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-175x300.png 175w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-1461x2500.png 1461w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-768x1314.png 768w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-897x1536.png 897w, https://www.multiplan.us/wp-content/uploads/2024/09/GPTW_2024_Healthcare-1197x2048.png 1197w" sizes="(max-width: 4042px) 100vw, 4042px" /> </div> </div> </div> </div> <div class="elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b9d565a" data-id="b9d565a" data-element_type="column"> <div class="elementor-widget-wrap elementor-element-populated"> <div class="elementor-element elementor-element-ece65a4 elementor-widget elementor-widget-heading" data-id="ece65a4" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">Services</h2> </div> </div> <div class="elementor-element elementor-element-fb30175 elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="fb30175" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/services/medical-payment-integrity/"> <span class="elementor-icon-list-text">Payment and Revenue Integrity</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/services/network-based/"> <span class="elementor-icon-list-text">Network-Based</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/services/analytics-based/"> <span class="elementor-icon-list-text">Analytics-Based</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/knowledgehub/"> <span class="elementor-icon-list-text">Services in Action</span> </a> </li> </ul> </div> </div> <div class="elementor-element elementor-element-3ab1725 elementor-widget elementor-widget-spacer" data-id="3ab1725" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-36ca0a0 elementor-widget elementor-widget-heading" data-id="36ca0a0" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">Markets</h2> </div> </div> <div class="elementor-element elementor-element-9290c7c elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="9290c7c" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/markets/commercial/"> <span class="elementor-icon-list-text">Commercial</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/markets/property-and-casualty/"> <span class="elementor-icon-list-text">Property & Casualty</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.multiplan.us/markets/government/"> <span class="elementor-icon-list-text">Government</span> </a> </li> </ul> </div> </div> <div class="elementor-element elementor-element-397c052 elementor-widget elementor-widget-spacer" data-id="397c052" data-element_type="widget" data-widget_type="spacer.default"> <div class="elementor-widget-container"> <div class="elementor-spacer"> <div class="elementor-spacer-inner"></div> </div> </div> </div> <div class="elementor-element elementor-element-c8e6cab elementor-widget elementor-widget-heading" data-id="c8e6cab" data-element_type="widget" data-widget_type="heading.default"> <div class="elementor-widget-container"> <h2 class="elementor-heading-title elementor-size-small">Connect With Us</h2> </div> </div> <div class="elementor-element elementor-element-03a2908 elementor-align-left elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list" data-id="03a2908" data-element_type="widget" data-widget_type="icon-list.default"> <div class="elementor-widget-container"> <ul class="elementor-icon-list-items"> <li class="elementor-icon-list-item"> <a href="https://www.facebook.com/MultiPlanInc/" target="_blank"> <span class="elementor-icon-list-text">Facebook</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://www.linkedin.com/company/multiplan" target="_blank"> <span class="elementor-icon-list-text">LinkedIn</span> </a> </li> <li class="elementor-icon-list-item"> <a href="https://twitter.com/MultiPlan_Inc" target="_blank"> <span class="elementor-icon-list-text">Twitter</span> </a> </li> <li class="elementor-icon-list-item"> <a 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