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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
08/30/2023
45 CFR 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
08/30/2023
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
08/30/2023
29 USC Sections 1185e and 1185f
Preventing surprise medical bills; Ending surprise air ambulance bills
OON-Payment Issues, Prompt Payment Deadlines
