Independent dispute resolution reports

The No Surprises Act (NSA) and its implementing regulations established a Federal Independent Dispute Resolution (IDR) process that out-of-network (OON) providers, facilities, and providers of air ambulance services, and group health plans, health insurance issuers in the group and individual markets, and Federal Employees Health Benefits (FEHB) Program carriers (collectively, the disputing parties) may use to determine the OON rate for qualified IDR items or services after an unsuccessful open negotiation period.

The Departments of Health and Human Services, Labor, and the Treasury (the Departments) launched the Federal IDR portal on April 15, 2022, to facilitate this process. The statute requires the Departments to publish on a public website certain information about the Federal IDR process. To promote transparency in the implementation of the Federal IDR portal, the Departments are sharing the below data with the public.

Beginning with the Federal IDR PUF that covers payment determination data through 2025 Q3 and Q4, please note a meaningful structural change: for the first time, each dispute line item in the PUF now includes the name of the certified IDR entity that conducted the payment determination. The Departments believe that access to this level of detail serves the public interest and reflects the Administration's commitment to maximize transparency in Federal healthcare programs.

Federal IDR public use files (PUF)

For more information about the Federal IDR Public Use Files (PUF), please review the below documentation that was updated on July 22, 2026: 


Federal IDR bi-monthly reports

To provide transparency into the operations of the Federal IDR process, the Departments are releasing information to the public bi-monthly in addition to the quarterly PUF release schedule. This bi-monthly update is not intended to be a substitute for the more comprehensive release of IDR information in the IDR PUFs and Federal IDR Supplemental Tables released by the Departments as required under the statute.  

 









Page Last Modified:
08/21/2026 03:01 PM