List of certified organizations

List of certified independent dispute resolution entities

The Department of Health and Human Services, the Department of Labor, and the Department of 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 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 DBA Website Flat Fee
(single determinations)
Batched Fee
(batched determinations)
Certified for the following states
C2C Innovative Solutions, Inc. C2C Innovative Solutions, Inc. https://www.c2cinc.com $299 $670 All states in which the federal process applies
Federal Hearings and Appeals Services, Inc. Federal Hearings and Appeals Services, Inc. https://www.fhas.com $365 $450 All states in which the federal process applies
Island Peer Review Organization IPRO https://ipro.org $500 $670 All states in which the federal process applies
Maximus Federal Services, Inc. Maximus Federal Services, Inc. https://maximus.com/federal $375 $475 All states in which the federal process applies
MCMC Services, LLC MCMC Services, LLC https://www.mcmcllc.com $395 $660 All states in which the federal process applies
National Medical Reviews National Medical Reviews, Inc. https://nationalmedicalreviews.com $285 $570 All states in which the federal process applies
Network Medical Review Company Network Medical Review Company, Ltd. https://www.nmrco.com $397 $655 All states in which the federal process applies
ProPeer Resources, LLC ProPeer Resources, LLC https://www.propeer.com $450 $600 All states in which the federal process applies

 

Page Last Modified:
01/12/2022 06:03 PM