US No Surprises Act (42 USC 300gg-111 to 300gg-139) and 45 CFR Part 149
Uninsured and self-pay individuals: good faith estimates and patient-provider dispute resolution (45 CFR 149.610 and 149.620; 42 U.S.C. 300gg-136 and 300gg-137) – US No Surprises Act (42 USC 300gg-111 to 300gg-139) and 45 CFR Part 149

US No Surprises Act (42 USC 300gg-111 to 300gg-139) and 45 CFR Part 149 149.610(b)(1)(v)-(vi),(ix): Issue the good faith estimate within 1 business day of scheduling (3 business days when scheduled 10 or more days ahead or on request), after contacting co-providers within 1 business day

What does 149.610(b)(1)(v)-(vi),(ix) require?

On a request from an uninsured or self-pay individual or on scheduling a primary item or service, the convening provider or facility must within 1 business day contact every co-provider and co-facility reasonably expected to furnish items or services in conjunction with the primary service and request their good faith estimate information with a due date; and must deliver the good faith estimate not later than 1 business day after scheduling where the service is scheduled at least 3 business days ahead, not later than 3 business days after scheduling where it is scheduled at least 10 business days ahead, and not later than 3 business days after a request. When a requested service is later scheduled a fresh estimate must be issued within the scheduling timeframes.

Maintained by Gerard Blokdyk

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