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
Our Client Portal
NMR's Client Portal is a secure, HITRUST-CSF certified platform!
We offer a customizable Client Portal to our clients who need two-way communication throughout the referral process. Our portal includes live status updates, document additions, messaging, and retrieval of current and historical Reports. We also have the capabilities for other methods to receive your Referral Requests for bulk entry such as FTP and Web Services.
Contact us to set up a demo of our portal and see how we can serve your IME and peer review needs.