Perspecta Provider Data Management
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"No Surprises" ​Toolkit

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Machine-readable files with in-network negotiated rates, out of network average charges & payments, & prescription drug rates.
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Price transparency & comparison tools enabling member to understand & compare expected out-of-pocket costs for items & services across multiple providers for 500 shoppable services & EOB.
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Coverage ID cards to show in-network and out-of-network deductibles & out-of-pocket limitations.
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Individual Disclosure​ including estimation for shoppable services & patient estimation.
Comprehensive solution

Eliminate 
billing surprises

Nobody likes surprises ​in medical billing which is why the CMS ruling under the "No Surprises Act" mandates that health plans demonstrate "transparency in coverage" to keep members & consumers informed.
DOWNLOAD INFOGRAPHIC

Be prepared 

Stay ahead of the CMS transparency in coverage ruling

Plan & prepare for the "No Surprises Act" transparency in coverage rule. Don't be caught by surprise. Understand how this CMS legislation effects your business, consumers, & the healthcare ecosystem overall.

SCHEDULE A SOLUTION DEMO
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Download the eBook
Provider Directory Portfolio
Price Transparency Solution
Consumer Chat Bot
COMPREHENSIVE SOLUTION BROCHURE

Breaking down the ruling 

CMS's regulation, the No Surprises Act, creates new guidelines to eliminate “surprise” medical billing & create transparency in coverage. 

Simply put, the legislation promotes the idea that patients should not be responsible for out-of-network costs that they did not agree to pay.
​​Don't be caught by surprise.

A few key requirements include 
price transparency, provider directory data accuracy & accessibility, & simplifying the means for consumers to get their questions answered. 

​Learn more in the 
detailed summary from the American Hospital Association.
Transparency in Coverage, no surprises act, ebook
Download the infographic

2022

  • Machine readable files updated monthly
  • Include in-network rates
  • Include out-of-network allowable amounts
  • Include in-network rates for covered drugs & net prices for prescription drugs at pharmacy location level
  • Deductibles & out of pocket maximum on coverage ID cards.

2023

  • Patient Estimation/Self-Service Tool of 500 shoppable items
  • Delivered via Patient Estimation/Self-Service System

2024

  • Patient Estimation/Self-Service Tool for ALL items & services
  • Delivered Via Patient Estimation/Self-Service System

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​Don't wait until 2024. Get Perspecta's comprehensive solution now!
​Stay informed... subscribe for "All Things PDM"
SOLUTION & RESOURCE INDEX

ABOUT US:
Leadership
​Contact Us
Careers

RESOURCES:
Blog
PDM Toolkit
​No Surprises Toolkit
PROVIDER DIRECTORY SOLUTIONS:
Provider Directory Portfolio
VIIAD Provider Directory
Chat Bot
Transparency in Coverage Solution
WHO WE SERVE:
Health Plans
Government Health Plans
Workers' Compensation

PROVIDER DATA MANAGEMENT SOLUTIONS:
Provider Data Management Portfolio
Roster Management
Data Cleansing
Provider Data Hosting
WORKERS' COMPENSATION SOLUTIONS:
Workers' Comp Referral Resource Hub
​Provider Panel Cards / Worksite Posters
Workers' Comp Health Ticket
​Provider Directory Solutions
Provider Data Management Solutions
Privacy Policy
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 Perspecta, LLC
  • Home
  • Solutions
    • Provider Directory Solutions
    • Provider Data Management Solutions
  • Target Market
    • Health Plans
    • Workers' Compensation
    • Government
  • Resources
    • PDM Toolkit
    • PDM News
    • "No Surprises" Toolkit
  • About Us
    • Leadership
    • Contact Us
    • Careers
  • BLOG