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FEDERAL · 45 CFR

Part 149 — Surprise Billing and Transparency Requirements

24 sections · Title 45: Public Welfare

§ 149.10Basis and scope.
§ 149.20Applicability.
§ 149.30Definitions.
§ 149.100Use of claim adjustment reason codes and remittance advice remark codes.
§ 149.110Preventing surprise medical bills for emergency services.
§ 149.120Preventing surprise medical bills for non-emergency services performed by nonparticipating providers at certain participating facilities.
§ 149.130Preventing surprise medical bills for air ambulance services.
§ 149.140Methodology for calculating qualifying payment amount.
§ 149.150Complaints process for surprise medical bills regarding group health plans and group and individual health insurance coverage.
§ 149.310Choice of health care professional.
§ 149.410Balance billing in cases of emergency services.
§ 149.420Balance billing in cases of non-emergency services performed by nonparticipating providers at certain participating health care facilities.
§ 149.430Provider and facility disclosure requirements regarding patient protections against balance billing.
§ 149.440Balance billing in cases of air ambulance services.
§ 149.450Complaint process for balance billing regarding providers and facilities.
§ 149.510Independent dispute resolution process.
§ 149.520Independent dispute resolution process for air ambulance services.
§ 149.530Federal independent dispute resolution registry of group health plans, health insurance issuers, and Federal Employees Health Benefits Program Carriers.
§ 149.610Requirements for provision of good faith estimates of expected charges for uninsured (or self-pay) individuals.
§ 149.620Requirements for the patient-provider dispute resolution process.
§ 149.710Definitions.
§ 149.720Reporting requirements related to prescription drug and health care spending.
§ 149.730Aggregate reporting.
§ 149.740Required information.