7d51c4d1_Questions_and_Answers__Question
[Question Number] 6 [Answer] Payments to designated HCRA providers made directly by the foreign country´s nationalized healthcare systems are considered "unspecified" payors under the HCRA. As such, revenue received by designated providers from them is subject to the Self-Pay/Unspecified surcharge rate and no regional GME percentage or covered lives assessment. [Question] 
How do the HCRA surcharges apply to foreign countries with nationalized healthcare systems?
Questions and Answers