On November 28, 2023, the Departments released the No Surprises Act (NSA) Independent Dispute Resolution (IDR) Batching and Air Ambulance Frequently Asked Questions (FAQs) and FAQs about Affordable Care Act and Consolidated Appropriations Act, 2021 Implementation Part 63 (FAQs Part 63) to provide guidance in advance of the portal reopening for batched disputes and air ambulance disputes. At this time, processing and initiation of batched disputes and single disputes involving air ambulance services remain temporarily suspended. The Departments intend to reopen the Federal IDR portal to these disputes as soon as possible and will announce to the public once they have done so.

Ending Surprise Medical Bills

Learn how providers, facilities, plans and issuers can comply with surprise billing protections and resolve out-of-network payment disputes

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No Surprises Act

Policies & resources

Review rules and fact sheets on what No Surprises rules cover, and get additional resources with more information.

Resolving out-of-network payment disputes

Learn about out-of-network payment disputes between providers and health plans and how to start the independent dispute resolution (IDR) process, apply to become a certified independent dispute resolution entity, or submit a petition on an applicant or to revoke certification of a current IDR entity.

Consumers and consumer advocates 

Learn about rights and protections for consumers to end surprise bills and remove consumers from payment disagreements between their providers, health care facilities and health plans.



Page Last Modified:
11/28/2023 02:13 PM