This document is about providing instructions and a template for initiating the Federal independent dispute resolution (IDR) process, which can be used to determine the out-of-network rate for certain emergency services, non-emergency services provided by out-of-network providers at in-network facilities, and air ambulance services. It outlines the requirements for the notice of IDR initiation, including the information that must be provided, the timeline for submission, and the process for selecting a certified IDR entity.