Under the No Surprises Act (“NSA”), when out-of-network (“OON”) providers cannot agree to a payment amount from insurers, the payment amount is determined by an Independent Dispute Resolution (“IDR”) process.
On February 23, 2022, the United States District Court for the Eastern District of Texas invalidated portions of the interim final rules regarding IDR that presumed the qualified payment amount (“QPA”) to be the proper payment amount. The court order does not affect any other rules under the NSA.
READ MORE: No Surprises Act IDR Process Altered By Court Order – 032122U [PDF]
