Knowledge is power.
NO SURPRISES ACT COMMUNICATION
If you are trying to submit an open negotiation or IDR request under the No Surprises Act, please click the email link below to email our NSA team to initiate and ensure timelines are met. All initial Open Negotiations, disputes, and follow-up correspondence must also be sent to the email address below.
This inbox is not tracked or monitored daily. Submitting negotiations or disputes does not guarantee that your request has been received. If your email has been properly received, you will receive an automated email response stating that your request has been successfully received.
nsanegotiations@edisonehs.com
MACHINE READABLE FILES (MRFs)
AVAILABLE NOW
Per the new US Transparency Laws, our users will be able to access Machine Readable Files (MRFs) which disclose the costs of their employer’s in-network and out-of-network medical rates, allowed amounts and billed charges. MRFs are not member friendly files. The user friendly member tool will be the Price Transparency Tool described below.
Coverage of any item or service is subject to the terms, limitations, and conditions of the health plan and network contracts. Always reference the member’s benefits for coverage information and limitations. Rates are subject to change for participant, beneficiary, and enrollee-specific characteristics.
PRICE TRANSPARENCY TOOL
AVAILABLE NOW
The all new EHS Price Transparency Tool will allow members to access personalized cost-sharing information for health services from any participating provider in their specific health plan’s network. This will help members to be able to make better decisions about healthcare choices as they study their options alongside the EHS team.
Please remember, this is not meant to replace proper utilization of our amazing Member Services Team at EHS - they are here for you to help navigate your plan and options as well. This tool simply allows even more knowledge for members.
Note: Access is offered through your member portal. Please click on the link below and it will take you to your login screen.
