Welcome to FHAS – Your Trusted Partner in Medical Review and Claims Adjudication
FHAS is a trusted national leader in providing business processing outsourcing services to federal and state government agencies and our partner’s government subsidized programs. We provide industry-recognized services in claims dispute resolution, medical claims and appeals review, administrative fair hearings, external medical peer reviews, complex medical reviews, and prior authorization.
With nearly 30 years of experience, FHAS is the industry’s leading Independent Dispute Resolution Entity (IDRE) partner, a URAC-accredited Independent Review Organization (IRO), and a premier claims review partner. FHAS blends clinical precision, regulatory expertise, and personalized service to deliver fair, accurate, and timely solutions for healthcare providers, payors, and government agencies nationwide.
29
Years expertise
3.5
Medical determinations issued
245
Determinations issued in the past year
494,483
IDR disputes assigned…and counting
413,180
IDR disputes closed...and counting
349,033
Payment determinations issued...and counting
FHAS Performance
FHAS has earned a growing reputation across the country for quality, consistency, and timely results while handling large case volumes. Our dedication to excellence is unwavering, backed by a team of experienced professionals committed to upholding the highest standards.
Whether you are a healthcare provider, insurance carrier, or stakeholder, you can trust FHAS to navigate complex disputes with integrity and expertise.
Our Services
Legal Services: Social Services Eligibility Hearings and Appeals
Since 1996, FHAS has issued over 3.5 million adjudications involving social service benefits.
Medical Review Services
FHAS provides expertise in conducting URAC-certified Independent Review Organization (IRO) medical reviews and claim adjudications across all medical specialties.
Independent Dispute Resolution (IDR)
FHAS is a certified Independent Dispute Resolution Entity (IDRE) under the No Surprises Act.
The FHAS Standard of Excellence in Independent Dispute Resolution
Consistently Delivering On-Time
Disputes are resolved promptly and efficiently within the regulated 30-day review period. Most importantly, we’ll use your time wisely to minimize disruptions for both providers and health plans.
Personalized Support
As the sole Independent Dispute Resolution Entity (IDRE) offering comprehensive client support, FHAS provides personalized, attentive guidance. We foster transparency through regular status updates and accommodate meetings with involved parties upon request, ensuring your unique needs are carefully addressed.
Expertise Across All Specialties
Our determinations are backed by a highly qualified and experienced panel of board-certified providers across all medical specialties. This diverse panel of experts brings a wealth of knowledge and expertise to every case, ensuring comprehensive and well-informed decisions.
Unbiased Expertise, True Independence
Our team comprises professionals from healthcare providers and health plans, fostering unbiased expertise. FHAS is a conflict-free, independent entity focused on neutrality and delivering resolutions that uphold fairness and equity for all parties.
Learn More About Independent Dispute Resolution
Top News & Updates
Article
Prevent Claims Submission Errors with an IDRE: A Quick Guide to How Links Are Triggered
Learn how to fix invoicing link errors and avoid claims submission issues with FHAS. Follow our guide to streamline your process. Contact us for help!
Article
CMS Clarifies Batching Rules: Eligibility Extends Through 90-Day Cooling-Off Period
As part of ongoing efforts by FHAS to provide much-needed clarity to payers and providers about the Independent Dispute Resolution (IDR) process, we recently reached out to the Centers for Medicare & Medicaid Services (CMS) for additional guidance on batching eligibility.
Resource
Proposed Federal Rules Changes for 2025: What to Know
Discover proposed changes to the Federal IDR process which address communication between payers and providers, batching requirements, eligibility determinations, fee collection and more. Ensure compliance with the No Surprises Act and learn about new requirements.
Your Trusted Partner in Independent
Dispute Resolution
Choose FHAS as your trusted partner in Independent Dispute Resolution and experience the unparalleled service that has solidified our position as the nation’s leading IDR-focused entity in the federal marketplace.
HOW TO FILESUBMIT OBJECTIONMAKE A PAYMENT
