Make sure you're prepared for the "No Surprises Act," because nobody likes billing surprises – especially your members. 

Don't be caught by surprise. Understand how this CMS legislation effects your business, consumers, and the healthcare ecosystem overall.

Breaking down what the Transparency in Coverage legislation means for health plans and providers

​CMSs regulation, the No Surprises Act, creates new guidelines to eliminate “surprise” medical billing and create transparency in coverage. ​Simply put, the legislation promotes the idea that patients should not be responsible for out-of-network costs that they did not agree to pay.
The Departments of Health and Human Services, Treasury, and Labor plans on releasing guidelines for how health plans need to implement these provisions before the largest sections of the legislation go into effect on January 1, 2022.

​Don't be caught by surprise.
A few key requirements include price transparency, provider directory data accuracy and accessibility, and simplifying the means for consumers to get their questions answered. Learn more in the detailed summary from the American Hospital Association.

3 significant impacts of ​the
No Surprises Act on provider data management

From health coverage IDs and provider price comparison, to provider data verification to public provider database access, the planned January 2022 legislation requires consequential changes for health plans and providers.

Get a snapshot of how the regulation impacts your business and recommendations to help you exceed the requirements.

Provider data management solutions to keep you compliant

No surprise here. Perspecta has the solutions you need.

AI-Powered Provider Directory
Customer driven algorithm to prioritize providers by cost-effectiveness and clinical outcomes to support consumer decision-making.

Online Price Comparison & Transparency
Enable charge, payment, and allowable reimbursement profiles for all providers and related services for transparency in coverage. Plus, analytics for insights to enable administrators to  better manage claims-related revenue decisions.

Comprehensive Provider Data Management
Including secure hosting, master data index, provider roster management, and data cleansing.

Online Consumer Chat
Answer provider, pricing, and billing related questions.

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