Blog Post · For Patients

Understanding Your Rights: How the No Surprises Act Protects Patients

A plain-language explanation for patients of how the No Surprises Act protects them from unexpected out-of-network medical bills.

Teramed Solutions

Have you ever received a medical bill that was much higher than you expected? The No Surprises Act (NSA) was put in place to protect you from these “surprise bills.” This post breaks down what the NSA means for patients.

We explain key protections, such as not being billed for out-of-network emergency services or certain non-emergency services at in-network facilities without your consent. Learn about your right to a “Good Faith Estimate” for planned services and what to do if you receive a bill that seems to violate the NSA.

We also touch upon the Independent Dispute Resolution (IDR) process from a patient’s perspective, empowering you with the knowledge to advocate for yourself. Understanding these rights can save you significant financial stress and ensure you receive fair treatment in healthcare billing.

Where to get help

If you think you’ve received a bill that violates the No Surprises Act, the federal No Surprises Help Desk can be reached at 1-800-985-3059, and more information is available at cms.gov/nosurprises.

Teramed Solutions works with healthcare providers, not patients, so we can’t review individual patient bills. Payment disputes under the federal IDR process happen between the provider and the health plan — patients aren’t a party to them.

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Teramed handles out-of-network payment disputes for healthcare practices, from open negotiation through federal IDR.

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