IDR Payment Process Once Again “On”

April 28, 2023

Effective:

March 17th, 2023

Summary

The Federal Independent Dispute Resolution (IDR) Process, a key component of the CAA, is once again active after a pause was issued February 24, 2023 for payments applicable after October 25, 2022.

  • The IDR process was established as a vehicle for providers and plans to settle payment disputes.
  • On March 17th, certified IDR entities were instructed to resume making payment determination for disputes involving items and services on or after October 25, 2022.
  • Government entities have updated the IDR Portal where notices on payment determination will be available.
  • View more about this notice and further guidance here.