Surprise Billing Model Notice
All payers must inform their non-Medicare members of their balance billing protections under the No Surprises Act. This notice provides you with what is “balance billing” and “surprise medical claims”, what your rights are under the law, and who to contact if you feel you are being balanced billed.
Transparency in Coverage
The Transparency in Coverage rule requires health insurers and group health plans to disclose certain pricing information. As of July 1, 2022, group health plans and issuers of group or individual health insurance must post pricing information for covered items and services. This pricing information can be used by third parties, such as researchers and app developers to help consumers better understand the costs associated with their health care.
The files linked to below are machine readable files. Our pricing tool, per regulations, will be live in 2023.