Notice & DisclosureRecurring
NSA: Provider Directory Accuracy
CAA 2021; NSA § 116; 45 CFR § 149.510
Plans must maintain an accurate, verified provider directory updated at least every 90 days. If participant relies on inaccurate directory info and receives OON care, plan must hold them harmless at in-network cost sharing.
ResponsibleMedical Carrier/TPA
Deliver ToParticipants; Beneficiaries (via directory)
DeadlineDirectory verified/updated at least every 90 days; response to directory inquiries within 1 business day
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