The independent dispute resolution (IDR) process has gotten more expensive for healthcare organizations—by 600%. The No Surprises Act may be preventing unexpected bills, but it will now be adding to ...

Anthem's California companies are suing 11 Prime Healthcare facilities, alleging that the hospitals committed fraud by ...

Anthem sues Prime hospitals in California, alleging $15 million in fraudulent No Surprises Act awards through ineligible dispute claims.

On October 27, 2023, the Departments of HHS, Labor, and Treasury and the Office of Personnel Management (the Departments) released a proposed rule updating the payor-provider dispute resolution ...

The federal No Surprises Act went into effect in 2022 with the goal of preventing surprise billing by implementing an independent dispute resolution process for payment disputes between payers and out ...

Several federal agencies issued a set of final rules based on the No Surprises Act aimed at making it easier for providers to contest payer decisions. During the IDR process, an arbiter is directed to ...

A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...

On September 8, 2025, a shareholder of Nutex Health, Inc. (“Nutex”) filed a derivative action in the Southern District of Texas that places the No Surprises Act (“NSA”) squarely at the center of a ...