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Federal Independent Dispute Resolution (IDR) Process Guidance for Disputing Parties

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 Independent Dispute Resolution (IDR) Process.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 26, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.