THE RIGHT FRAMEWORK TO COMPLY WITH PROVIDER DIRECTORY REQUIREMENTS
New Video
How to Show Compliance with the No Surprises Act
We have the inside scoop on how you, as a health plan, can be in compliance with the No Surprises Act Provider Directory Verification requirements. Zach Snyder, VP of Government Affairs, Quest Analytics, explains the workflow you can use to meet these guidelines and demonstrate that you’re making efforts to be in compliance.
InfoBooklet
The Guide for Accurate Provider Directories
There’s a new era for provider directories and we’re here to help you navigate it. From roles & responsibilities to proven strategies to ProTips, we’re covering everything Payers need to know. Download your copy now to stay ahead of the game.
Planning Worksheet
No Surprises Act Provider Directory Verification Process
Knowledge is power. To prepare for the Provider Directory Verification mandate, you must understand your current processes. Use this worksheet to help you and your team uncover key answers and hit key targets.
Articles
New Guidance on the Provider Directory Verification Requirements
The latest guidance stands firm on January 1, 2022, as the effective date. We’ve summarized the highlights and key takeaways.
FAQs and Provider Directory Requirements
We answer the most frequently asked question that health plans are asking us regarding the CAA Provider Directory Requirements. We also share tips and targets to help you get ahead in the coming months.
Compliance Today Article
The No Surprises Act was signed into law in December 2020 as part of the massive Consolidated Appropriations Act of 2021. Here are new requirements regarding provider directory information.
Top 3 Things the “No Surprises Act” Means for Health Plans
One in five emergency room visits results in an individual receiving a bill for treatment or services they expected to be covered by their health plan but weren’t.
Webinars
On-Demand Webinar: AHIP & Quest Analytics Present
STAY AHEAD OF NEW PROVIDER DIRECTORY REQUIREMENTS
Quest Analytics partnered with AHIP to continue the conversation about the new Provider Directory Verification requirements listed in the No Surprises Act. Watch now and learn about:
- The new provider directory accuracy requirements for health plans and providers
- The impact the requirements have on your business
- Which strategies to implement now
On-Demand Webinar
No Surprises Act: What You Need to Know and Why
The No Surprises Act includes regulations that will affect most of our health plan clients. As many are just learning about the new provider data requirements, we want to share the cliff notes and answer the most common questions. Watch the on-demand webinar to learn best practices, strategies, and actionable steps you can take today to align with the new federal requirements.
LEGISLATIVE BRIEFS
The New Provider Directory Accuracy Mandate
Under the No Surprises Act, commercial, qualified health plans (QHPs), and employer-based health plans are required to maintain accurate provider directories. Read our legislative brief to learn about the new requirements that health plans and providers need to meet.
Adding Value. Reducing Risk. Meeting Compliance.
It can be challenging for health plans to adhere to the requirements for Protecting Patients and Improving the Accuracy of Provider Directory Information. We’re here to help you. Find out how Quest Enterprise Services (QES) can assist you in maintaining accurate and adequate provider networks.
White Papers
White Paper
Surprises in the No Surprises Act for Health Plans and Providers
The new provider directory verification requirements continue to surprise most health plans and providers. Discover what each party needs to do to update the provider directory, and how to design your process to comply with the accuracy requirements.
Infographics
Best Practices
Implementation In Four Phases
There is a lot to consider and accomplish as you prepare for the mandate. Where do you begin? What happens next? What is a realistic timeline? We’ve mapped out the process for you. Download the Four Phases of Implementing a Provider Data Verification process.
Best Practices
Eleven Questions to Ask Your Teams
As a best practice when preparing for the Provider Data and Directory Verification mandate, it is imperative that you understand your current process. Download the top eleven questions we recommend you ask your teams.
Best Practices
Frequently Asked Questions
Section 116: Protecting Patients and Improving the Accuracy of the Provider Directory Information, requires health plans and providers to work together to maintain up-to-date provider directories. Discover the answers to the top questions about the new requirements.
Videos
LEARN MORE WITH RELATED RESOURCES
DELIVER ON TOMORROW’S GOALS BY PLANNING TODAY
Our main priority is assisting you with your day-to-day roles and responsibilities of ensuring accurate provider directories and adequate health networks, in turn, maintaining appropriate access to care for your members. We encourage you to lean on us as much as you need. Each of us at Quest Analytics has the tools and technology to help you and your team meet the needs and goals you have for your Medicare Advantage, Medicaid and Commercial lines of business.