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December 20, 2022

IRS provides indexing factors health plans will use in 2023 to calculate certain qualifying payment amounts

In Notice 2023-04, the IRS has provided the indexing factors that group health plans and health insurance issuers will use to calculate the qualifying payment amount (QPA) for items or services during calendar year 2023. The No Surprises Act added IRC Sections 9816 and 9817 to provide "protections against balance-billing for certain out-of-network items or services provided to patients"; individual cost sharing for items and services covered by the balanced-billing protections is based on the QPA under certain circumstances.

Published by NTD’s Tax Technical Knowledge Services group; Carolyn Wright, legal editor