PAYMENT DISPUTES UNDER THE NO SURPRISES ACT
The No Surprises Act, which was effective January 1, 2022, protects patients from surprise balance billing for the following types of claims:
The law applies to those UMWA Funds’ beneficiaries in the 1993 Benefit Plan who are not enrolled in Medicare. You can find your patient’s Benefit Plan on the Funds health card.
Non-contracted providers may initiate a payment dispute under the No Surprises Act by emailing the required documentation to us at: [email protected] or by calling 888-865-5290.
Please provide the beneficiary’s name, UMID # and Trans (claim) #. In addition, you must include the U.S. Federal Open Negotiation Notice with at least the following information:
The required Open Negotiation Notice can be viewed and printed here: