No Surprises Act | U.S. Department of Labor

Prescription Drug and Health Care Spending

Requirements Related to Surprise Billing, Part II

Federal Independent Dispute Resolution Public Use Files, July 1, 2023 – December 31, 2023 (cms.gov)
Federal Independent Dispute Resolution Public Use Files, January 1, 2023 - June 30, 2023 (cms.gov)
No Surprises Act (NSA) Independent Dispute Resolution (IDR) Partial Reopening of Dispute Initiation Frequently Asked Questions (FAQs), October 6, 2023 (cms.gov)
August 2023 IDR Administrative Fees FAQs
Amendment to the Calendar Year 2023 Federal IDR Process Fee Guidance
Initial Report on the Independent Dispute Resolution Process: April 15 – September 30, 2022
Federal Independent Dispute Resolution Process – Status Update
Partial Report on the Independent Dispute Resolution (IDR) Process: October 1 – December 31, 2022
Calendar Year 2023 Federal IDR Process Fee Guidance
Final Rule (Downcoding Disclosure and IDR Process)
Affordable Care Act Implementation FAQs Part 55
Fact Sheet
Federal Independent Dispute Resolution Process Status Update
News release
Federal Independent Resolution Process Portal – The Federal Independent Dispute Resolution (IDR) system (Federal IDR Portal) is live and available to receive requests for resolution of payment disputes for certain out of network health care items and services. You can initiate a Federal IDR request here: https://nsa-idr.cms.gov/paymentdisputes/s/
Federal Independent Dispute Resolution (IDR) Process Guidance for Certified IDR Entities -- This document provides guidance to certified IDR entities with an overview of the IDR process and their responsibilities as part of the process. You can access the guidance at: https://www.cms.gov/cciio/resources/regulations-and-guidance/downloads/federal-independent-dispute-resolution-process-guidance-for-certified-idr-entities.pdf
- For all items and services furnished on or after October 25, 2022 for plan years beginning on or after January 1, 2022 https://www.cms.gov/files/document/federal-idr-guidance-idr-entities-march-2023.pdf
Federal Independent Dispute Resolution (IDR) Process Guidance for Disputing Parties -- This document provides information on how the disputing parties engage in open negotiation prior to the Federal IDR Process, initiate the Federal IDR Process, select a certified IDR entity, and meet the requirements of the Federal IDR Process. You can access the guidance at: https://www.cms.gov/files/document/federal-independent-dispute-resolution-guidance-disputing-parties.pdf
- For all items and services furnished on or after October 25, 2022 for plan years beginning on or after January 1, 2022 : https://www.cms.gov/files/document/federal-idr-guidance-disputing-parties-march-2023.pdf
Memorandum Regarding Continuing Surprise Billing Protections for Consumers
Interim Final Rule with Request for Comments
Petition Process for Certification of IDR Entities
News Release
Calendar Year 2022 Federal IDR Process Fee Guidance
CMS External Review Guidance Regarding State Process
Information collection documents associated with Federal independent dispute resolution process requirements
1. Paperwork Reduction Act Supporting Statement for Federal Independent Dispute Resolution Process
2. Open Negotiation Period Notice
3. Notice of IDR Initiation
4. Notice of IDR Entity Selection
5. Notice of Agreement on an Out-of-Network Rate
6. Notice of Offer
7. IDR Certification Application
8. Petition for Certification Denial or Revocation
9. Monthly IDR Entity Reporting Requirements
10. Request for Extension Due to Extenuating Circumstances
11. Certified IDR Entity Written Determination
Information collection documents associated with external review requirements
1. Paperwork Reduction Act Supporting Statement for DOL-Only External Review ICR

Federal Independent Dispute Resolution (IDR) Operations

Federal Independent Dispute Resolution (IDR) Process Administrative Fee and Certified IDR Entity Fee Ranges

No Surprises Act Implementation FAQs

Prohibition on Gag Clauses on Price and Quality Information in Provider Agreements

Advanced Explanation of Benefits

Request for Information: Advanced Explanation of Benefits and Good Faith Estimate for Covered Individuals

Provider Nondiscrimination

Group Health Plan Service Provider Disclosures Under ERISA Section 408(b)(2)(B)

Requirements Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcement

Requirements Related to Surprise Billing, Part I

Reporting on Pharmacy Benefits and Prescription Drug Costs

Ground Ambulance Patient Billing (GAPB) Advisory Committee

State All Payer Claims Databases Advisory Committee (SAPCDAC)