Answers
Working answers to the No Surprises Act compliance questions practice administrators actually have: estimates, consent, and what happens when it goes wrong.
Good faith estimate requirements
Who must get a GFE, the 1 and 3 business day deadlines, the required contents, and the $400 threshold that hands patients a dispute process.
Read the answerNotice and consent rules
The 72 hour timing rule, the standard form, the 7 year retention requirement, and the ancillary specialties no form can make billable.
Read the answerNo Surprises Act penalties
The $10,000 per-violation CMP, state-first enforcement with the CMS backstop, the complaint process, and the 30 day refund safe harbor.
Read the answerFor questions beyond this site, such as which claims are eligible or how the arbitration itself unfolds, see the Lido IDR answers library. The full dispute record is explorable at idrexplorer.com.
Have a question about your own claims?
Bring your payer mix and rough out-of-network volume to a 30 minute call. We will sort what is eligible and show you what similar providers are winning. Talk to an IDR specialist.