CHA News

Federal Independent Dispute Resolution Fees Finalized

This post has been archived and contains information that may be out of date.

What’s happening: The departments of Health and Human Services, Labor, and Treasury issued a final rule setting the No Surprises Act independent dispute resolution (IDR) fees.  

What else to know: This was in response to an earlier court ruling that found the departments’ approach to setting the administrative fee was impermissible.   

Finalized policies include:  

  • An administrative fee of $115 per party for disputes initiated on or after the effective date of the rule (30 days from publication in the Federal Register scheduled for Dec. 21) 
  • Certified IDR entity fee ranges of $200-840 for single determinations and $268-$1,173 for batched determinations 
  • Charging between $75 and $250 if batched determinations exceed 25 dispute line items, beginning with the 26th line item 

The administrative fee amount and certified IDR entity fee ranges will be set once per calendar year. The finalized certified IDR entity fee ranges will remain in effect until the departments address different certified IDR entity fee ranges in subsequent rulemaking.  

Additional information is available in a fact sheet.