List of certified organizations
List of certified independent dispute resolution entities
The Department of Health and Human Services (HHS), the Department of Labor (DOL), and the Department of the Treasury have certified these organizations to serve as independent dispute resolution entities in the federal independent dispute resolution process between providers, facilities or providers of air ambulance services and group health plans, health insurance issuers and Federal Employees Health Benefits (FEHB) Program carriers.
Starting January 1, 2022, if a provider or facility and a health plan can’t agree on the payment amount for an out-of-network service covered by No Surprises rules, these organizations can be selected to make a payment determination.
The application process opened September 30, 2021, and will remain open to accept applications on a rolling basis. The list will be updated as additional organizations become certified.
| Legal Business Name | Application ID | Website | Flat Fee (single determinations) |
Batched Fee (batched determinations) |
Certified for the following states |
|---|---|---|---|---|---|
| C2C Innovative Solutions, Inc. |
IDREApp-067 |
$299 |
$670 |
All states in which the federal process applies |
|
| EdiPhy Advisors, L.L.C. | IDREApp-115 | https://www.medmanagementllc.com/ | $500 | $670 | All states in which the federal process applies |
| Federal Hearings and Appeals Services, Inc. |
IDREApp-107 |
$365 |
$450 |
All states in which the federal process applies |
|
| Island Peer Review Organization DBA: IPRO |
IDREApp-066 |
$500 |
$670 |
All states in which the federal process applies |
|
| Keystone Peer Review Organization, Inc. |
IDREApp-113 |
$398 |
$670 |
All states in which the federal process applies |
|
| Maximus Federal Services, Inc. |
IDREApp-114 |
$375 |
$475 |
All states in which the federal process applies |
|
| MCMC Services, LLC |
IDREApp-108 |
$395 |
$660 |
All states in which the federal process applies |
|
| Medical Evaluators of Texas DBA: MET Healthcare Solutions |
IDREApp-116 |
$350 |
$550 |
All states in which the federal process applies |
|
| National Medical Reviews DBA: National Medical Reviews, Inc. |
IDREApp-070 |
https://nationalmedicalreviews.com/
|
$285 |
$570 |
All states in which the federal process applies |
| Network Medical Review Company DBA: Network Medical Review Company, Ltd. |
IDREApp-071 |
$397 |
$655 |
All states in which the federal process applies |
|
| ProPeer Resources, LLC |
IDREApp-110 |
$450 |
$600 |
All states in which the federal process applies |