Certifications

The Department of Health and Human Services, the Department of Labor, and the Department of the Treasury have certified EdiphyAdvisors, L.L.C. to serve as a certified independent dispute resolution (IDR) entity in the Federal IDR process between out-of-network providers, facilities, or providers of air ambulance services and group health plans, health insurance issuers in the group and individual market, or Federal Employees Health Benefits (FEHB) Carriers. If an out-of-network provider, facility, or provider of air ambulance services and a health plan, issuer, or FEHB Carrier can’t agree on the payment amount for an out-of-network item or service provided on or after January 1, 2022 that is covered by the No Surprises Act, as a certified IDR entity, we can be selected to determine the payment amount.
 

For any questions regarding the No Surprises Act, or for more information regarding any of its provisions, users should go to https://www.cms.gov/nosurprises.
 

Any inquiries related specifically to the Federal IDR process, or to initiate a dispute, should be directed to the official CMS IDR email: FederalIDRQuestions@cms.hhs.gov.

IDRE Certification: IDRE-App-115

No Surprises Act

Payment Disputes Between Providers and Health Plans