The No Surprises Act; Legislative Compliance Delivers the Only Opportunity for a COE

Transparency has long eluded the healthcare industry, and for better or worse it required government intervention to achieve patient protections. The legislation is forcing a much-needed engagement between the Payor and Provider community and setting some ground rules for fair play. These new rules of conduct position the Payors to fulfill the duties of a “prudent person”, while bringing transparency to the Providers.

During our time together we will highlight our technology platform that works to satisfy the provider search and price shopping transparency requirements. Furthermore, the integration of this technology with the third-party administrator and the various other requirements (i.e., ID Cards, notice of balance bill rights, EOB, etc.) to achieve compliance. Diversified Benefit Administrator’s, Mary Beth Donalson, will be joining this discussion to elaborate more fully on the TPA’s obligations to the Plan sponsor.