Independent Dispute Resolution Reports

The No Surprises Act (NSA) and its implementing regulations establish 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. 

For more information about the Federal IDR Public Use Files (PUF), please review the below documentation that was updated on June 13, 2024: 

• Federal IDR PUF General Information (PDF) 
• Federal IDR Supplemental Tables General Information (PDF) 
• Federal IDR PUF Data Dictionary (XLSX)
• Federal IDR PUF Data Disclaimer—User Agreement (PDF)
   

2023 Reporting Year

• Federal IDR PUF for 2023 Q1 (as of February 15, 2024) (XLSX)
• Federal IDR PUF for 2023 Q2 (as of February 15, 2024) (XLSX)
• Federal IDR PUF for 2023 Q3 (as of June 13, 2024) (XLSX)
• Federal IDR PUF for 2023 Q4 (as of June 13, 2024) (XLSX)
   
• Federal IDR Supplemental Tables for 2023 Q1 (as of February 15, 2024) (XLSX)
• Federal IDR Supplemental Tables for 2023 Q2 (as of February 15, 2024) (XLSX)
• Federal IDR Supplemental Tables for 2023 Q3 (as of June 13, 2024) (XLSX)
• Federal IDR Supplemental Tables for 2023 Q4 (as of June 13, 2024) (XLSX)
   
• Supplemental Background on the Federal IDR PUF, January 1 - June 30, 2023 (as of February 15, 2024) (PDF)
• Supplemental Background on the Federal IDR PUF, July 1 - December 31, 2023 (as of June 13, 2024) (PDF)
   
• Federal Independent Dispute Resolution Process—Status Update (April 27, 2023) (PDF)

2022 Reporting Year

• Initial Report on the Independent Dispute Resolution (IDR) Process: April 15 - September 30, 2022 (PDF)
   
• Partial Report on the Independent Dispute Resolution (IDR) Process: October 1 - December 31, 2022 (PDF)
   
• Federal Independent Dispute Resolution Process—Status Update (August 19, 2022) (PDF)