The Office of Commissioner of Insurance and Safety Fire John F. King today posted the final Rules and Regulations for the "Surprise Billing Consumer Protection Act" enacted by the Georgia General Assembly earlier this year.
The below Rules and Regulations will go into effect on January 1, 2021.
Additionally, the Office of Commissioner of Insurance and Safety Fire has chosen to contract with FAIR Health to provide the "contracted amount" as spelled out in the legislation and Rules and Regulations.
FAIR Health is an independent nonprofit not affiliated with any governmental agency, insurer, or other organization in the healthcare sector. The FAIR Health database currently includes over 900 million claim records from Georgia, growing by approximately 76 million claim records per year. FAIR Health data serves as an official reimbursement reference point in state balance billing and consumer protection laws targeting balance bills for surprise out-of-network and emergency services in Texas, New Mexico, New York, and Connecticut.