EBSA 1210-AC00 and 1210-AB99 IDR Process Final Rule DOL816 Final

This document outlines the final rule for the Independent Dispute Resolution (IDR) process established by the Employee Benefits Security Administration (EBSA). It provides detailed guidelines on how health plans should handle payment disputes between providers and payers, ensuring compliance with federal regulations. The rule aims to promote transparency and fairness in resolving such disputes, with specific procedures for initiating and managing the IDR process. This final rule is a critical component of the federal oversight of health plan operations.