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Current insurer calculation of qualified payment amount for out-of-network OON care may violate No Surprises Act: American Society of Anesthesiologists

Current insurer calculation of qualified payment amount for out-of-network OON care may violate No Surprises Act: American Society of Anesthesiologists
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Insurers may be violating No Surprises Act over Qualified Payment Amounts

In possible violation of the No Surprises Act, health insurance company calculations of Qualified Payment Amounts for anesthesiology, emergency medicine and radiology services – and possibly other specialty services – likely include rates from primary care provider contracts. That's according to a new study conducted by Avalere Health and commissioned by three national ....

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