Independent Dispute Resolution (IDR)
As the nation’s only Entity with URAC’s IDR designation, FHAS provides fast, fair, and scalable arbitration for payment disputes between out-of-network providers and health plans under the No Surprises Act.
Fast, Fair, and Scalable IDR Programs
The No Surprises Act (NSA) protects patients from unexpected out-of-network billing. When providers and health plans cannot agree on payment amounts after open negotiations, FHAS steps in to provide neutral arbitration. Our efficient, tech-enabled process, fair arbitration, and best-in-class client support help build efficient and scalable IDR programs for all parties.
–> FHAS Awarded URAC’s First and Only IDR Designation
“We continue to lead the way. This designation validates our unwavering commitment to delivering the highest quality dispute resolution services, ensuring fair, impartial, and efficient outcomes for all stakeholders across the healthcare ecosystem.”
– Jim Bobeck Esq., CEO of FHAS
IDR Knowledge Base
Navigating the IDR process can be challenging. Along with our personalized 1-1 client support, we offer a comprehensive IDR Knowledge Base with tips, guides, and best practices. Also, be sure to check Industry Updates for the latest CMS and NSA news.
How to File a Dispute
Independent Dispute Resolution (IDR) is utilized as a means for resolving payment disputes between healthcare providers and health plans, in line with the CMS No Surprises Act. The goal of the IDR process… more
Understanding the IDR Process with FHAS
Healthcare billing disputes can be complex and time-consuming, especially when they involve out-of-network (OON) services. Thanks to the No Surprises Act (NSA), which was enacted on… more
Determining Dispute Eligibility
Not every dispute is eligible for the Federal IDR process, and the rules and timelines governing it can be complicated. Additionally, confusion and litigation have resulted in changes and clarifications since… more
More Helpful Topics:
- No Surprises Act – FAQ
- How To Choose An Impartial IDR Entity
- Batching Vs. Bundling
- How To Make Your IDR Documentation Stronger
Working with FHAS:
Why FHAS is the Nation’s Premier IDR Partner
Certified & Accredited
A certified Entity from the start of NSA and the first with URAC designation, FHAS understands complex disputes and delivers equitable resolutions—every time.
Expert Arbitration Team
Our arbitrators bring unparalleled expertise in healthcare regulations and dispute resolution, delivering unbiased and informed outcomes.
Unmatched Timeliness
We adhere to strict regulatory timelines, issuing binding decisions within mandated periods, such as the 30-calendar-day payment window post-decision.
Exceptional Client Service
FHAS offers the highest level of client communication and education—helping our clients navigate the complexities of the IDR process.
Scalable Solutions
From individual providers to large health systems, FHAS manages disputes at scale with uncapped batch limits, while maintaining timelines and accuracy.
Proven Track Record
With hundreds of thousands of disputes resolved, our review team ensures consistent, trusted resolutions for all parties.
Comprehensive IDR Support
The Departments of Health and Human Services, Labor, and the Treasury have certified Federal Hearings and Appeals Services as an independent dispute resolution (IDR) entity within the federal IDR process. In this role, FHAS facilitates disputes between out-of-network providers, facilities, or air ambulance service providers and group health plans, health insurance issuers in both the group and individual markets, as well as Federal Employees Health Benefits (FEHB) carriers.
When an out-of-network provider or facility and a health plan, issuer, or FEHB carrier are unable to agree on a payment amount for a covered item or service provided on or after January 1, 2022 under the No Surprises Act, FHAS may be selected as the certified IDR entity to determine the appropriate payment amount.
Federal Hearings and Appeals Services
- Certified IDRE #: IDREApp-107
- The Nation’s first IDRE with URAC’s IDR designation
- View our IDR Knowledge Base
For any questions regarding the No Surprises Act, or for more information regarding any of its provisions, please visit 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
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