Federal IDR services

Federal IDR support for healthcare providers.

PRP manages potential No Surprises Act payment disputes from pathway review and open negotiation through filing, evidence preparation, negotiation, and outcome tracking.

Last reviewed July 17, 2026

Pathway overview

Start with the governing plan and claim facts.

The federal independent dispute resolution process may be available for certain out-of-network items and services when a provider or facility and a health plan cannot agree on payment after the required open-negotiation period. The plan, service, date, notice, and timing all matter.

Important distinctions

What provider teams should identify early.

  • The process addresses payment between disputing parties; it is not a patient billing workflow.
  • A 30-business-day open-negotiation period generally precedes federal IDR initiation.
  • Plan regulation and any applicable state process must be reviewed before selecting the federal pathway.

PRP operating scope

One managed workflow from review through outcome.

  1. 01

    Review the plan, service, payment or denial, notices, and procedural timing.

  2. 02

    Confirm the likely federal or state pathway before initiating work.

  3. 03

    Manage negotiation notices, filing steps, deadlines, and communications.

  4. 04

    Organize client-supplied records into a clear supporting submission.

  5. 05

    Track status, outcomes, and incremental recovery in the client dashboard.

Claim-specific review

Confirm fit before a deadline becomes the problem.

Start with high-level plan, state, service, timing, and volume information. Do not send patient records through the public site.

Request a claim review