Insurers often rely on subtle delay tactics to quietly run out the arbitration clock, making it harder for providers to recover underpaid claims under the No Surprises Act (NSA). Because the NSA allows only 30 business days for negotiation and four business days afterward to initiate arbitration, any confusion over timelines can cost you your right to dispute a payment. These delays often appear harmless—partial or vague EOPs, “pending review” statuses, or month-end payment postings—but they strategically create uncertainty and slow response times. Providers cannot depend on insurers to clarify timelines, and missing even a few arbitration windows can snowball into significant annual revenue losses. To stay protected, strong internal systems are essential, including strict tracking of all deadlines, centralized claim review, and verification of every insurer communication. Clear, organized documentation is equally critical, ensuring you can confirm when the timeline officially begins and respond before it expires. These delays are not just administrative oversights but strategic attempts to limit payouts, making proactive monitoring and strong recovery partnerships vital for maintaining reimbursements and preventing insurers from using silence, ambiguity, or timing manipulation to their advantage.
source: https://callagyrecovery.com/insurer-delays-that-quietly-close-your-arbitration-window/
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