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Network Adequacy and Out-of-Network Filings
Guidance, Filing Instructions, and Other Resources
- OON Law and No Surprises Act Guidance and FAQs
- Network Adequacy FAQs
- Network Adequacy Requirements, Standards, and Provider Network Submission Instructions
- New Plan Request Form (MS Word)
- Network Adequacy Attestation for Certification of Adequacy: Pharmacy Only Network
Model Forms and Disclosures
- Out-of-Network Reimbursement Examples (MS Word)
- Model Provider Disclosure of Balance Billing Protections (MS Word)
- Model Issuer Disclosure of Balance Billing Protections (MS Word)