26 CFR § 54.9816-7T
Complaints process for surprise medical bills regarding group health plans (temporary).
See 45 CFR 149.150 for the process to receive and resolve complaints that a specific group health plan may be failing to meet the requirement of applying a qualifying payment amount under §§ 54.9816-4T, 54.9816-5T, 54.9816-6T, and 54.9817-1T, which may warrant an investigation.
[T.D. 9951, 86 FR 36950, July 13, 2021]
Source: view the official text
In this part (40 sections)
- 54.9815-2708 · Prohibition on waiting periods that exceed 90 days.
- 54.9815-2711 · No lifetime or annual limits.
- 54.9815-2712 · Rules regarding rescissions.
- 54.9815-2713 · Coverage of preventive health services.
- 54.9815-2713T · Coverage of preventive health services (temporary).
- 54.9815-2713A · Accommodations in connection with coverage of…
- 54.9815-2714 · Eligibility of children until at least age 26.
- 54.9815-2715 · Summary of benefits and coverage and uniform glossary.
- 54.9815-2715A1 · Transparency in coverage—definitions.
- 54.9815-2715A2 · Transparency in coverage—required disclosures to…
- 54.9815-2715A3 · Transparency in coverage—requirements for public…
- 54.9815-2719 · Internal claims and appeals and external review…
- 54.9815-2719T · Internal claims and appeals and external review…
- 54.9815-2719A · Patient protections.
- 54.9815-2719AT · Patient protections (temporary).
- 54.9816-1T · Basis and scope (temporary).
- 54.9816-2T · Applicability (temporary).
- 54.9816-3 · xxx
- 54.9816-3T · Definitions (temporary).
- 54.9816-4T · Preventing surprise medical bills for emergency services…
- 54.9816-5T · Preventing surprise medical bills for non-emergency…
- 54.9816-6 · Methodology for calculating qualifying payment amount.
- 54.9816-6T · Methodology for calculating qualifying payment amount…
- 54.9816-6A · xxx
- 54.9816-7T · Complaints process for surprise medical bills regarding…
- 54.9816-8 · Independent dispute resolution process.
- 54.9816-8T · Independent dispute resolution process (temporary).
- 54.9816-9 · xxx
- 54.9817-1T · Preventing surprise medical bills for air ambulance…
- 54.9817-2 · Independent dispute resolution process for air ambulance…
- 54.9817-2T · Independent dispute resolution process for air ambulance…
- 54.9822-1T · Choice of health care professional (temporary).
- 54.9825-1T · Basis and scope (temporary).
- 54.9825-2T · Applicability (temporary).
- 54.9825-3T · Definitions (temporary).
- 54.9825-4T · Reporting requirements related to prescription drug and…
- 54.9825-5T · Aggregate reporting (temporary).
- 54.9825-6T · Required information (temporary).
- 54.9831-1 · Special rules relating to group health plans.
- 54.9833-1 · Applicability dates.