About NSAHelper

The federal No Surprises Act (42 U.S.C. § 300gg-111 et seq.), in effect since January 1, 2022, prohibits balance billing in most emergency situations and for many out-of-network providers at in-network facilities. Five states layer their own surprise-billing statutes on top.

NSAHelper is a free, open-source utility that drafts three formal letters — to your provider, to your insurer, and to CMS — citing the federal NSA and any applicable state statute. If you want to escalate, NSAHelper also drafts an IDR escalation cover letter.

We do not store your information. The site is open source under the MIT license.