NSPPP
National Standards for Patient Payment Protection
Founding phase — standards publication, certification enrollment, and the public registry open with the program launch. Request updates.
The framework

The NSPPP Standards

The Standards are versioned, published, and free to read. NS-1, the national baseline, is organized into seven domains; jurisdiction overlays adapt it to the law of each of the 51 U.S. jurisdictions, and field overlays adapt it to dental, medical, veterinary, and other care settings. NS-1 v1.0 publishes at program launch, beginning with the dental and medical fields.

Domain A — The Money Conversation & Presentment Conduct

How costs, options, and third-party financing are presented: plain language, neutral presentation, no steering, no pressure.

Domain B — Financing Arrangement & Application Integrity

Patient-directed applications, accuracy of information, and the boundaries of staff assistance.

Domain C — Card Processing & Surcharge Conduct

Card acceptance, surcharges and convenience fees, and promotional-financing disclosure — jurisdiction by jurisdiction.

Domain D — Fraud Prevention & Identity Verification

Identity checks, application integrity safeguards, and early-warning controls at the point of payment.

Domain E — Post-Transaction Duties

Refunds, partial refunds, cancellations, disputes, credit balances, and reconciliation — the process does not end when funds arrive.

Domain F — Documentation, Records & Audit Readiness

What must be documented, how long it is kept, and what a practice must be able to produce on request.

Domain G — Training & Designated-Expert Requirements

The certified-expert standard for every practice, and the training expectations for every team member who touches the payment conversation.

Sector standards. Beyond NS-1, the framework includes conduct standards for point-of-care lenders (NS-2), payment processors (NS-3), the national audit methodology (NS-4), and the technical standard for compliance-platform recognition (NS-5).

Built for adoption

Standards that must be purchased rarely become standards. NSPPP publishes its standards openly, maintains them on a quarterly cycle, and issues jurisdiction-specific change alerts so certified experts — and the platforms that serve practices — can keep pace the day a rule changes.