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No Surprises Act Complaint Form

No Surprises Act Complaint Form

Effective January 1, 2022, the federal No Surprises Act (NSA) provides new protections for consumers, and new requirements for health insurance companies and medical providers, medical facilities, and air ambulance service regarding balance billing in certain situations.   The Department of Insurance has been tasked with implementing the enforcement of this new act by Centers for Medicare and Medicaid Services (CMS). If you feel that protections afforded you by the NSA have been violated, please fill out the form below and someone from the Idaho Department of Insurance will contact you.

Consumers, healthcare providers, and insurance companies can file a complaint regarding potential violations of the NSA.

If you are unsure whether your problem or question is related to the NSA, please contact Consumer Affairs at (208) 334-4319 or toll free from an Idaho number (800) 721-3272.

No Surprises Act Complaint Form

Name of individual or company your complaint is against and contact information.

Before submitting this form, please print this page for your records. A copy will also be sent to your email address entered.

Have more questions?

Contact the Consumer Affairs team:

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