No Surprises Act IDR for Radiology and Emergency Physician Groups: A Guide
Most out-of-network emergency department services and facility-based radiology reads belong in federal independent dispute resolution. Waived nonemergency care and many state-process claims […]
Federal IDR Process for Providers: Step-by-Step Guide
CMS reported 1,433,289 federal IDR disputes initiated in the first five months of 2026, while IDR entities closed 1,103,487 payment determinations and […]
Zelis Underpayment Appeal Process for Out-of-Network Providers Explained
Zelis reprices out-of-network claims using an aggregated methodology, and providers generally need to act within a 30-day appeal window, which is longer […]