A reminder that claims related to individuals covered by insurance plans regulated by the state of Ohio are subject to different out-of-network rules administered by the Ohio Department of Insurance.
In addition to releasing new rules (as required by recent court rulings), CMS and the Department of Labor released new FAQs covering a variety of NSA requirements, an update on the Independent Dispute Resolution Process (IDR) including tips, and common mistakes and helpful guidance for those entities conducting the IDR process.
Federal IDR Process Tips and Common Mistakes