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NSA (No Surprises Act) Quiz

Quiz by Life Changing Church

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6 questions
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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.

    false
    true
    True or False
    30s
  • 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.

    false
    true
    True or False
    30s

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