45 CFR Part 149
PART 149—SURPRISE BILLING AND TRANSPARENCY REQUIREMENTS
- PART 149—SURPRISE BILLING AND TRANSPARENCY REQUIREMENTS
- Subtitle A—Department of Health and Human Services › Subchapter B—Requirements Relating to Health Care Access
- Subpart A—General Provisions
- § 149.10 Basis and scope.
- § 149.20 Applicability.
- § 149.30 Definitions.
- Subpart B—Protections Against Balance Billing for the Group and Individual Health Insurance Markets
- § 149.100 Use of claim adjustment reason codes and remittance advice remark codes.
- § 149.110 Preventing surprise medical bills for emergency services.
- § 149.120 Preventing surprise medical bills for non-emergency services performed by nonparticipating providers at certain participating facilities.
- § 149.130 Preventing surprise medical bills for air ambulance services.
- § 149.140 Methodology for calculating qualifying payment amount.
- § 149.150 Complaints process for surprise medical bills regarding group health plans and group and individual health insurance coverage.
- Subpart C [Reserved]
- Subpart D—Additional Patient Protections
- § 149.310 Choice of health care professional.
- Subpart E—Health Care Provider, Health Care Facility, and Air Ambulance Service Provider Requirements
- § 149.410 Balance billing in cases of emergency services.
- § 149.420 Balance billing in cases of non-emergency services performed by nonparticipating providers at certain participating health care facilities.
- § 149.430 Provider and facility disclosure requirements regarding patient protections against balance billing.
- § 149.440 Balance billing in cases of air ambulance services.
- § 149.450 Complaint process for balance billing regarding providers and facilities.
- Subpart F—Independent Dispute Resolution Process
- § 149.510 Independent dispute resolution process.
- § 149.520 Independent dispute resolution process for air ambulance services.
- § 149.530 Federal independent dispute resolution registry of group health plans, health insurance issuers, and Federal Employees Health Benefits Program Carriers.
- Subpart G—Protection of Uninsured or Self-Pay Individuals
- § 149.610 Requirements for provision of good faith estimates of expected charges for uninsured (or self-pay) individuals.
- § 149.620 Requirements for the patient-provider dispute resolution process.
- Subpart H—Prescription Drug and Health Care Spending
- § 149.710 Definitions.
- § 149.720 Reporting requirements related to prescription drug and health care spending.
- § 149.730 Aggregate reporting.
- § 149.740 Required information.
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