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NO SURPRISES ACT
Certified Independent Resolution Entity


The Department of Health and Human Services, the Department of Labor, and the Department of the Treasury have certified ProPeer Resources to serve as a certified Independent Dispute Resolution Entity (IDRE) in the Federal IDR process between out-of-network providers, facilities, or providers of air ambulance services and group health plans, health insurance issuers in the group and individual market, or Federal Employees Health Benefits (FEHB) Carriers.

If an out-of-network provider, facility, or provider of air ambulance services and a health plan, issuer, or FEHB Carrier can’t agree on the payment amount for an out-of-network item or service provided on or after January 1, 2022 that is covered by the No Surprises Act, as a certified IDRE, ProPeer Resources can be selected to determine the payment amount.

ProPeer Resources has served government entities since 1992 providing equitable and trusted services. For questions or concerns regarding administrative and IDRE Fee transactions related to a dispute assigned to ProPeer Resources, please contact idre@propeer.com.

For any questions regarding the No Surprises Act or for more information regarding any of its provisions, including the Federal IDR process, visit https://www.cms.gov/nosurprises.


Any inquiries related specifically to the Federal IDR process, or to initiate a dispute, should be directed to the official CMS IDR email: FederalIDRQuestions@cms.hhs.gov. 

 

ProPeer Resources (IDREApp-110) can be validated as a certified IDRE at List of certified organizations | CMS.

 

ProPeer's leadership looks forward to serving you by providing the fair and balanced decisions you deserve.

A clinical review partner you can trust

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