NSA (No Surprises Act) Quiz
Quiz by Life Changing Church
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- Q1
When must the No Surprises Act become effective for Self-Funded Plans?
On the Date or Birth of the Member
On the renewal date of the Plan in 2022
01/01/2022
When the Member is re-enrolled for 2022
30s - Q2
When can Ancillary Providers balance bill the Patient?
Only after the claim has been denied
When the Patient has signed a waiver
Never
When the charges are over the Usual and Customary
30s - Q3
Emergency Services for OON Providers will be applied to the OON Deductible and Out-Of-Pocket.
falsetrueTrue or False30s - Q4
When may an OON non-emergency service from an INN facility balance bill?
Never
OON non-emergency services may balance bill when the Plan has not paid the allowable amount of the claim/bill.
OON non-emergency services may only balance bill when they have obtained the members consent no later than 72 hours before the scheduled procedure.
OON non-emergency services may balance bill when the (IDR) negotiations are complete.
30s - Q5
When is an IDR (Independent Dispute Resolution) used?
It is used to resolve a payment issue between a Patient and Provider
It is used to resolve a payment issue between the Plan and Patient
It is uses to resolve a payment issue between the Plan and the Provider
It is used to challenge what the Patient owes
30s - Q6
The member can waive the NSA Protections for balance billing for Ancillary benefits.
falsetrueTrue or False30s