Advanced EOB and Good Faith Estimate [CAA, Transparency Provision]

Advanced EOB and Good Faith Estimate [CAA, Transparency Provision]

Advanced EOB and Good Faith Estimate [CAA, Transparency Provision]

Section 112 (division BB) requires providers to send a good faith estimate of their “expected” charges for furnishing an item or service to an enrollee to the health plan and for the health plans to send the estimate and other information to the enrollees.

Market impact of this provision effects Individual Family Plan (IFP), Small Business Markets (SBM), Core, Premier, Administrative Services Only (ASO) and Shared Advantage (SA) lines of business.

 

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