NO SURPRISES ACT – IDRE

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The Department of Health and Human Services, the Department of Labor, and the Department of the Treasury has certified Provider Resources, Inc. (PRI) as an independent dispute resolution entity (IDRE) in the federal independent dispute resolution process between providers, facilities or providers of air ambulance services and health plans.  

 

Effective January 1, 2022, if a provider or facility and a health plan cannot agree on the payment amount for an out-of-network item or service covered by the No Surprises Act, as a certified IDR entity (IDRE APP 141), PRI can be selected to determine the payment amount. PRI has served the government with similar initiatives as a trusted, fair, and balanced federal partner since 2008.

 

For any questions regarding the No Surprises Act or for more information regarding any of its provisions, including the Federal IDR process, visit https://www.cms.gov/nosurprises.

For any questions regarding PRI, please fill out the form below or email us at pri-idre@provider-resources.com.

PRI's leadership looks forward to serving you by providing the fair and balanced decisions you deserve.

As a certified IDRE, PRI is required to collect the CMS Administrative Fee and the IDR Entity Fee from both parties. By clicking the link below, you will be directed to our payment portal.

 

Note: All payments must be made in U.S. dollars.

 

The bank invoice you will receive refers to the required “CMS Administrative Fee” as the “convenience fee.”

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