Providing real answers for patients, providers, and payors in real-time
Providing real answers for patients,
providers, and payers in real-time
providers, and payers in real-time
seeQer answers the questions
that plague patients.
How much will the test cost?
Will it be covered by insurance?
Insurance Network Status
Good Faith Estimate
Test Codes and PA Requirements
Patient Insurance Info
Advanced Explanation of Benefits
Good Faith Estimate
Network Status
Test Codes and PA Requirements
Financial Responsibility Limits
Recent Webinars
Why does this matter?
Under the No Surprises Act, providers and labs/facilities must provide health plans (or patients directly) with a good faith estimate of the amount they may charge a patient within 1-3 days of the care being scheduled.
This includes:
- Verification of patient coverage
- Contract rates for care
- Expected billing and diagnostic codes
Health plans must also offer an advanced explanation of benefits for patients prior to services being rendered, within 1-3 days of the good faith estimate submitted by the provider/lab.
This includes:
- Network status for provider or facility of contracted rates
- Cost sharing
- Deductibles or out-of-pocket costs
- Medical management (prior authorization)
Although penalties not enforced yet, fines will be $10,000 per incident for facilities and providers.
Read more about the legislation from Health and Human Services and Health Affairs, or download the AHA’s detailed summary.
Contact us to learn more about seeQer,
or have a representative contact you directly.
or have a representative contact you directly.
