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Federal IDR can apply to certain out-of-network services subject to the No Surprises Act, including services commonly provided by the specialties below. Eligibility depends on the particular claim, payer, plan, service and circumstances.
Anesthesiology
Groups covering hospitals and surgery centers where they are not contracted with every plan.
Radiology
High-volume reads, batched by plan and code so smaller claims are worth disputing.
Pathology and labs
Specimens from in-network hospitals and surgery centers.
Emergency, surgical, and hospital-based
Emergency physicians, surgeons, assistant surgeons, and hospital-based specialists.
Air ambulance
Out-of-network air transport is protected under the No Surprises Act.
Facilities
Out-of-network emergency facility claims at hospitals and freestanding ERs.
And more. Contact us to see if your practice is eligible.
Check eligibility