Members will have the option for an external review if they believe their claim for a No Surprises Act item or service was handled improperly.
Who it applies to: All members of fully insured group health plans, self-funded group health plans and individual policies – including all grandfathered plans.
Effective date: Plan years beginning on or after Jan. 1, 2022
Action required: No member or employer group action is required at this time. BCBSND will update its member appeal process to comply.