Since the introduction of the No Surprises Act (NSA), Independent Dispute Resolution (IDR) has become a critical tool for Zotec in assisting our clients. We work hard to get fair reimbursement from payers—particularly in out-of-network scenarios. While the NSA was designed to protect patients from unexpected medical bills, it also introduced a complex and evolving regulatory process for providers and payers alike. This guide seeks to help you understand the IDR process in 2025 and beyond.
As of 2025, the Centers for Medicare & Medicaid Services (CMS), alongside the Departments of Health and Human Services (HHS), Labor, and Treasury, continue to refine IDR guidance and protocols. Delays, backlogs, and ongoing legal challenges have created a volatile environment. It is more important than ever for Zotec to educate our clients while giving them the technical infrastructure and strategic expertise to navigate IDR successfully. Here we map out what providers should consider in the IDR process, via the Zotec way.
To learn more about how Zotec’s IDR process fits into our RCM service model, click this link.
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