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The Departments of Health and Human Services, Labor, and the Treasury (the Departments) are announcing that two recently certified independent dispute resolution (IDR) entities, Capitol Bridge and Livanta, are now available to adjudicate disputes. Expanding the number of available certified IDR entities from 13 to 15 is expected to increase IDR throughput and represents an important step in continuing to improve the Federal IDR process.
Review the list of certified independent dispute resolution entities.
The No Surprises Act created protections against out-of-network balance billing for consumers and established a Federal IDR process that providers (including air ambulance providers), facilities, health plans and issuers can use to determine the payment rates for certain out-of-network charges. During the Federal IDR process, disputing parties select a third-party arbitrator, known as a certified IDR entity, to resolve their dispute. The certified IDR entity must select one of the disputing parties' payment offers as the appropriate out-of-network payment rate.
Organizations certified as IDR entities have demonstrated to the Departments that they have the experience and staffing to adjudicate disputes fairly and impartially. As a part of the application process, IDR entities must demonstrate sufficient background and experience in arbitration and claims administration of health care services, managed care, billing and coding, medical and legal expertise to make payment determinations. IDR entities must also demonstrate, among other things, the ability to ensure that no conflicts of interest exist, maintain fiscal integrity, comply with applicable regulations, and protect sensitive information.
In an effort to provide ongoing transparency into the Federal IDR program, the Departments are now releasing a bi-monthly report to update the public more frequently on IDR program statistics.
The June/July 2025 information is now available in the latest IDR bimonthly report.
The Departments are also releasing a new fact sheet on efforts to clear the IDR backlog. Over the past year, the Departments and certified IDR entities have made significant strides in resolving capacity issues in the IDR system. The resulting improvements have increased the efficiency of dispute resolution, and certified IDR entities are now resolving disputes faster than they are submitted.
Read more about the current operations and capacity on Federal dispute resolution.
Center for Consumer Information and Insurance Oversight (CCIIO)
Department of Health and Human Services
Centers for Medicare & Medicaid Services
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