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Ama Policy

Definition of “Usual, Customary and Reasonable” (UCR) H-385.923

03/14/2019
Fee Schedules, OON-Payment Issues
Federal Law

Title 45-Subtitle A-Subchapter B-Part 147. Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets

11/18/2024 45 CFR Section 147.138

Patient protections

OON-Payment Issues
Ama Policy

Balance Billing for All Physicians D-380.996

07/25/2019
OON-Payment Issues
Ama Policy

Balance Billing H-385.991

07/25/2019
OON-Payment Issues
Ama Policy

Out-of-Network Care H-285.904

08/31/2022
Network Adequacy, OON-Payment Issues
Ama Policy

Physician Penalties for Out-of-Network Services H-180.952

10/15/2019
OON-Payment Issues
Ama Policy

Out-of-Network Care D-285.962

10/15/2019
OON-Payment Issues
Ama Policy

Out of Network Restrictions of Physicians H-285.907

10/15/2019
OON-Payment Issues
Federal Law

Title 26-Internal Revenue Code-Subtitle K-Chapter 100-Suchapter B. Other requirements

11/25/2024 26 USC Sections 9816 and 9817

Preventing surprise medical bills; Ending surprise air ambulance bills

OON-Payment Issues
Federal Law

Title 29-Labor-Chapter 18-Subchapter I-Part 7-Subpart B. Other requirements

11/21/2024 29 USC Sections 1185e and 1185f

Preventing surprise medical bills; Ending surprise air ambulance bills

OON-Payment Issues, Prompt Payment Deadlines