Independent Dispute Resolution (IDR)

Resolve Disputes with the Nation’s Premier IDR Entity

Certified IDRE Services for Fair and Timely Resolutions

As the nation’s premier Independent Dispute Resolution Entity (IDRE) under the No Surprises Act, FHAS delivers impartial and efficient arbitration for payment disputes between out-of-network providers and health plans. We apply our 30 years of review and clinical expertise to provide fast, unbiased resolutions.

Independent Dispute Resolution with Unmatched Authority & Service

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, the nation’s premier IDRE, steps in to provide neutral arbitration.

Our proven, tech-enabled processes ensure disputes are resolved fairly with clinical and coding expertise, transparently, and in strict compliance with federal regulations. Moreover, our unmatched account services team offer 1-1 education and insights that demystify the complexities of the dispute process for all parties.

Why FHAS is the Nation’s Premier IDR Partner

Certified IDRE Excellence

A certified Entity from the start of NSA, 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

Dispute Initiation and Management

Seamlessly guide parties through the IDR process, meeting all deadlines, including the 4-business-day initiation window post-negotiation.

Arbitrator Assignment

Assign disputes to arbitrators with specialized expertise, ensuring fair and accurate reviews aligned with CMS standards.

Evidence Review

Conduct meticulous evaluations of payment offers, EOBs, and claim details to deliver informed and impartial decisions.

Compliance Monitoring

Ensure every step adheres to federal and state regulations, including handling extensions for extenuating circumstances, as outlined by CMS.

Custom Reporting

Provide detailed outcome reports and trend analysis to enhance transparency and support process improvements.

Unrivaled Benefits with FHAS’s Premier IDR Services

Impartial and Fair Resolutions

Our unbiased arbitration ensures equitable outcomes for providers and health plans, upholding the principles of the No Surprises Act.

Cost Efficiency

Streamlined processes reduce administrative and legal costs, allowing clients to focus on core operations.

Regulatory Confidence

Stay compliant with federal and state-specific regulations, minimizing audit risks and ensuring seamless operations.

Stronger Stakeholder Relationships

Fair and timely resolutions foster trust and collaboration between providers, health plans, and regulators.

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