Plan and Issuer Disclosure on Patient Protections Against Balance Billing
Requirements Related to Surprise Billing: Qualifying Payment Amount, Notice and Consent, Disclosure on Patient Protections Against Balance Billing, and State Law Opt-in
OMB: 0938-1401
IC ID: 249377
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1401 can be found here: