No Surprise Act (NSA) & QPA Compliance
Protecting Plans and Members with Transparent, Compliant Reimbursement
LogroNetwork ensures your health plan is fully compliant with the No Surprises Act (NSA)—protecting members from unexpected medical bills while providing a structured, data-driven approach to out-of-network reimbursement through the Qualifying Payment Amount (QPA).
Our integrated NSA compliance solution supports payors, TPAs, and self-insured employers with the tools, intelligence, and services needed to manage QPA calculations, notice and consent workflows, and the independent dispute resolution (IDR) process.
Key NSA & QPA Service Features
QPA Determination & Documentation
We calculate and document QPAs using industry-accepted methodologies based on median in-network rates by CPT/HCPCS code and geographic region, ensuring your payment offers are defensible and in full compliance with regulatory standards.
Notice & Consent Management
LogroNetwork helps implement standardized NSA notice and consent forms, enabling proper communication with members and providers in emergency and non-emergency situations.
Dispute Resolution Support (IDR)
Should a claim enter the federal IDR process, we provide full support with documentation, benchmarking, and expert strategy to optimize outcomes.
End-to-End Compliance Infrastructure
Our workflows, audit trails, and data tracking are built to meet all NSA reporting, documentation, and timing requirements, minimizing risk and administrative burden.
Why LogroNetwork?
QPA Accuracy: AI-driven calculations using real-time and historical network rate data
Regulatory Expertise: Aligned with evolving HHS, DOL, and IRS guidelines
Member Protection: Helps eliminate surprise bills while maintaining access to high-quality care
Operational Efficiency: Seamless integration into claims workflows and repricing processes
With LogroNetwork, you can confidently navigate the NSA landscape—ensuring compliance, managing provider disputes, and delivering fair, transparent pricing to your members.