The Problem: Navigating the No Surprises Act
Fair Pay Shouldn't be a Fight
The No Surprises Act (NSA) was meant to protect patients from unexpected medical bills. The law prohibits balance billing in federally covered scenarios — such as most emergency care and certain hospital- based services — ensuring patients only owe in- network cost sharing amounts. Yet in doing so, it has shifted the administrative and financial burden squarely onto providers. It created a maze of red tape, underpayment, and strict timelines. Each NSA- eligible claim must follow a precise process. Every missed step, delayed filing, or “insurer adjustment” — that’s your care going undervalued.
The Pain Points Providers Face
Underpaid claims below the Qualifying Payment Amount (QPA.)
Denied or delayed reimbursements with little transparency.
Short filing windows that risk lost revenue.
Administrative overload draining staff time and morale.
Behind every claim is a patient served —and a provider who shouldn’t
have to battle bureaucracy to get paid.