Certified IDR entities are a foundational component of the federal IDR process under the No Surprises Act. As neutral, independent decision-makers, IDR entities are responsible for evaluating disputes and issuing payment determinations based on the information and criteria established by Congress in statute. Maintaining their full and active role is essential to ensuring the process operates as intended.

CIDRE supports policies that protect and reinforce the central role of IDR entities across the dispute resolution lifecycle including eligibility determinations, dispute administration, and final payment determinations. Limiting or diminishing the involvement of certified entities risks undermining the independence, consistency, and impartiality that are critical to credible dispute resolution and threatens to unwind the careful balance achieved by Congress that ended surprise bills for millions of Americans.

A strong and appropriately engaged IDR framework promotes objective decision-making, procedural consistency, and accountability. It also helps ensure that disputes are resolved by qualified, neutral entities with the expertise necessary to manage complex clinical and financial considerations.