Navigating the No Surprises Act Independent Dispute Resolution Process

Federal Independent Dispute Resolution (IDR) is the required process for providers and health plans to resolve out-of-network payment disputes for services covered by the No Surprises Act (NSA). This webcast will explain how the process works, examine how recent litigation and rulemaking have reshaped it, and share practical strategies for managing disputes effectively.

Key takeaways include:

• Plan fiduciaries should consider their oversight strategy for managing the IDR process.
• Concerns about the IDR process have prompted both health plan payers and providers to seek legislative modifications to the existing IDR rules, meaning change may be on the horizon.
• Best practices for monitoring and managing the IDR process might include a mix of participant education, vendor engagement and plan operations adjustments.