Healthcare litigation resource
No Surprises Act resource.
A supporting resource for payors, plans, insurers, providers, and business stakeholders navigating out-of-network payment disputes, Federal Independent Dispute Resolution, and related healthcare litigation issues.
Federal framework
Payment disputes now involve administrative process as well as litigation strategy.
The No Surprises Act established federal protections against certain surprise medical bills and created a Federal Independent Dispute Resolution process for specified payment disputes between plans or issuers and providers, facilities, or air ambulance services.
Questions may involve federal and state interaction, open negotiation, eligibility, timing, offer selection, payment methodology, administrative records, preemption, contract claims, and related litigation.
Potential issues
Federal IDR does not eliminate the need for litigation judgment.
The governing pathway can depend on the service, plan, state law, contract status, procedural history, deadlines, and claims asserted.
This page is general information, not legal advice. Federal guidance and deadlines change; consult current official sources and counsel for a specific matter.
Direct answers
Frequently asked questions.
These answers are general information, not legal advice. The analysis of a specific matter depends on its facts, law, forum, and objectives.
What is the Federal Independent Dispute Resolution process?
Federal IDR is an administrative process created under the No Surprises Act for certain payment disputes between plans or issuers and providers, facilities, or air ambulance services after an open-negotiation period. Eligibility, timing, and procedure depend on current law and guidance.
Does the No Surprises Act replace all healthcare payment litigation?
No. Some disputes may proceed through Federal IDR, while others may be governed by state law, contract, ERISA, preemption principles, administrative procedure, or other legal theories.
Why is current official guidance important?
Federal forms, portal procedures, fees, deadlines, and guidance can change. Parties should consult current CMS and Department of Labor resources and obtain advice for the specific dispute.
Contact The Zorkin Firm
Does the dispute require senior litigation judgment?
Contact the firm to discuss the parties, general nature of the matter, business objective, and next step. Do not send confidential information before an engagement is confirmed.