Guidance for Providers Out-of-Network Billing Resolution
Don’t let out-of-network billing conflicts keep you from getting paid quickly.
As a health care provider, you know you run the risk of unpaid out-of-network bills that hurt your bottom line.
By engaging with Naviguard, thousands of health care providers like you have resolved their out-of-network billing disputes and received payment. Quickly.
Average turnaround time for case resolution
Providers engaged across 174+ specialties
1Naviguard data January 2021 – August 2022. Resolved cases include all instances in which a member contacted Naviguard and the case was reviewed and negotiated or closed.
On January 1, 2022, the No Surprises Act (NSA) went into effect for health plan years commencing on or after that date. This has made a large impact on health care providers and facilities, including administrative process changes and additional requirements to follow.
For health care providers, the No Surprises Act provides a clear process for resolving out-of-network payment disputes. When the provider and the health plan can’t come to an agreement, a neutral third party will determine the payment for a service.
Naviguard works with health care providers on behalf of plans and patients to resolve out-of-network billing claims quickly and efficiently. Our deep industry knowledge means we understand the ins and outs of this new legislation from the point of view of providers, patients, employers, and insurers.
We believe in working cooperatively with providers to resolve out-of-network billing issues. Our expertise can help providers achieve successful negotiations and avoid the hassle, cost, and time of the independent dispute resolution process.