びびなび : ワシントンDC : (アメリカ合衆国) Washington DC

header

No Surprises Act Independent Dispute Resolution


Public Announcement and Petition Period for New Independent Dispute Resolution (IDR) Entities

________________________________________________________________________



The Department of Health and Human Services (HHS), the Department of Labor, and the Department of the Treasury — collectively the Departments — have completed the review of the certification applications and determined that Capitol Bridge, LLC and Livanta LLC meet the requirements for certification as Independent Dispute Resolution (IDR) entities. Members of the public, including providers, facilities, providers of air ambulance services, and plans or issuers, can submit a petition for the denial of IDR entity certification [ https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-applicants ] [ https://www.cms.gov/nosurprises/help-resolve-payment-disputes/submit-feedback-on-applicants ]within five business days of the public announcement. After reviewing any petitions received, the Departments will make a final decision on certification.

The No Surprises Act, which created new protections against out-of-network balance billing, established a federal IDR process that out-of-network providers, facilities, providers of air ambulance services, plans, and issuers in the group and individual markets may use to determine out-of-network rates for applicable items or services after an unsuccessful open negotiation. During the Federal IDR process, disputing parties select a third-party arbitrator, known as a certified IDR entity, to resolve their dispute. These arbitrators go through a rigorous certification process so that the Departments can ensure they are able to adjudicate disputes fairly and impartially.

Additional resources:


* Learn about the certification process [ https://www.cms.gov/nosurprises/help-resolve-payment-disputes/apply ]
* List of certified independent dispute resolution entities [ https://www.cms.gov/nosurprises/help-resolve-payment-disputes/certified-idre-list ]

________________________________________________________________________



Center for Consumer Information and Insurance Oversight (CCIIO)
Department of Health and Human Services
Centers for Medicare & Medicaid Services



Center for Consumer Information & Insurance Oversight




________________________________________________________________________

You're getting this message because you subscribed to get email updates from the Centers for Medicare & Medicaid Services (CMS) [ http://www.cms.gov/ ].

Update your subscriptions, modify your password or email address, or stop subscriptions at any time on your Subscriber Preferences Page [ https://public.govdelivery.com/accounts/USCMS/subscriber/edit?preferences=true#tab1 ]. You will need to use your email address to log in. If you have questions or problems with the subscription service, please contact subscriberhelp.govdelivery.com [ https://subscriberhelp.govdelivery.com/ ].

This service is provided to you at no charge by Centers for Medicare & Medicaid Services (CMS) [ http://www.cms.gov ].


________________________________________________________________________

This email was sent to mshinji3056@gmail.com using GovDelivery Communications Cloud 7500 Security Boulevard · Baltimore MD 21244


body .abe-column-block { min-height: 5px; } table.gd_combo_table img {margin-left:10px; margin-right:10px;} table.gd_combo_table div.govd_image_display img, table.gd_combo_table td.gd_combo_image_cell img {margin-left:0px; margin-right:0px;} table.govd_hr {min-width: 100%;}