COVID-19 and Surprise Balance Billing: What Payers Need to Know Now

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Zelis Offers Protection from Surprise Bills on OON COVID-19 Claims

Now more than ever, your members are at risk of being balance billed due to COVID-19. In-network facilities are being repurposed to emergency care centers, and members are struggling to understand where to turn for services for both COVID-19 and other urgent care concerns. At the same time, news of proposed Coronavirus legislation, governors’ orders, and emergency announcements flood the headlines. How does a payer sort through it all to understand the latest mandates on reimbursement and balance billing?

Join legislative and cost management experts as they explain the most recent provisions, and – most important – how to leverage them to mitigate risk for payers, plans, and members. This webinar will address:

  • The effect of COVID-19 on out-of-network claims and balance billing
  • Surprise balance billing-related provisions in recent Congressional acts
  • When state balance billing laws are triggered with COVID-19 claims
  • Arbitration and member advocacy for surprise balance billing
  • Specific balance billing scenarios


Matthew Albright

Chief Legislative Affairs Officer, Zelis

Matthew has more than 15 years of regulatory, political and public affairs experience. Matthew has written numerous state and federal regulations and helped draft HIPAA regulations while a director at CMS. He monitors healthcare laws and helps Zelis stay two steps ahead of pending legislation.

Rob Jackson

EVP Cost Management Solutions, Zelis

Rob has more than 20 years of healthcare experience, including 13+ years implementing cost management solutions generating significant savings improvements to payer clients. Rob is responsible for setting strategic direction for product innovation, development and delivery. He is a subject matter expert and frequent industry speaker on Reference Based Pricing strategies.

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