As the leading Independent Dispute Resolution Entity (IDRE) in the nation, FHAS provides a fair, efficient, and cost-effective resolution process for payment disputes between healthcare providers and health plans.
Some of our services include:
- Fair and transparent arbitration with binding decisions
- Expert arbitrators trained by the American Health Law Association
- Proprietary technology enhancing efficiency and reducing costs
We ensure compliance with the No Surprises Act while delivering outcomes you can trust.
For nearly 30 years, FHAS, a URAC-certified Independent Review Organization, has been a trusted leader in providing expert medical reviews and claim adjudications across all medical specialties nationwide, including Medicare Fee-for-Service, Medicare Advantage, and both government-sponsored and commercial insurance disputes.
Some of our services include:
- 1st, 2nd, and 3rd-level external appeals and reviews
- Prior Authorizations
- Specialty-matched peer reviews
- Medical coverage determinations
- Bill review audits
Overseen by a seasoned Medical Director and supported by a Quality Assurance team, our comprehensive reviews uphold the highest standards of quality and integrity.
Since 1996, FHAS has delivered cost-effective, scalable legal and adjudication services to federal and state agencies. We specialize in Medicaid and social services eligibility reviews across various programs.
Some of our services include:
- Medicaid eligibility determinations
- Administrative agency hearings
- SNAP and cash assistance eligibility reviews
- Employment and collective bargaining arbitrations
Our experienced hearing officers and legal professionals bring deep knowledge and a meticulous approach to every case, ensuring fair and timely resolutions.
