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Text of Federal Independent Dispute Resolution (IDR) Process Guidance for Disputing Parties (PDF)
U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL]; and U.S. Treasury Department Link to more items from this source
[Official Guidance]
Mar. 20, 2023

39 pages; updated Mar. 2023. "This guidance document is effective for payment determinations made on or after February 6, 2023 for items and services furnished on or after October 25, 2022 for plan years ... beginning on or after January 1, 2022 ... This document provides guidance to disputing parties who are seeking to resolve a claim for payment for [out of network] health care items or services through the Federal IDR Process.... 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."

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