The Department of Health and Human Services, the Department of Labor, and the Department of Treasury have certified Network Medical Review to serve as an independent dispute resolution entity in the federal independent dispute resolution process between providers, facilities, or providers of air ambulance services and group health plans, health insurance issuers, and Federal Employees Health Benefits program carriers.
These new protections ensure that providers, facilities, and health plans can’t balance bill a consumer for certain out-of-network services. Instead, providers, facilities, and health plans will use this independent dispute resolution process to determine the payment rates for those services.
To learn more about the IDR Process click here
View our certification here
For any questions regarding the No Surprises Act, or for more information regarding any of its provisions, please refer to https://www.cms.gov/nosurprises
Any inquiries related specifically to the Federal IDR process, or to initiate a dispute, should be directed to the official CMS IDR email: FederalIDRQuestions@cms.hhs.gov