IDRE Services

Trusted, Independent Resolution Under the No Surprises Act

EdiPhy Advisors is a certified Independent Dispute Resolution Entity under the No Surprises Act, providing fair, objective, and compliant dispute resolution services. We support stakeholders through a rigorous, transparent process designed to operationalize and fulfill the legal protections of the No Surprises Act.

Certified Independent Dispute Resolution Entity

EdiPhy Advisors has been selected by the federal government to serve as an Independent Dispute Resolution Entity for disputes arising under the No Surprises Act. Our role is to provide independent, unbiased determinations in accordance with statutory and regulatory requirements. We approach every dispute with objectivity, consistency, and a commitment to procedural integrity.

 

Support for Initiating and Non-Initiating Parties

EdiPhy Advisors works with both initiating and non-initiating parties involved in the IDRE process. EdiPhy Advisors has dedicated resources that maintain relationships and are responsive to initiating and non-initiating parties. We are committed to clarity, transparency, and consistency throughout the process. 

 

 

 

A Clear, Structured Review Process

Our IDRE process follows established federal requirements and timelines. Submissions are reviewed by qualified professionals with appropriate expertise, and determinations are supported by clear rationale aligned with regulatory criteria. This structured approach supports confidence in the process and trust in the outcome.

  1. Payment Dispute Submission

    Parties submit the dispute with required documentation via CMS.

  2. Eligibility Review

    We determine whether the dispute is eligible for review under the No Surprises Act.

  3. Fee, Offer, and Evidence Review

    Our team evaluates all fees, offers, and other submissions from both parties.

  4. Determination

    A decision is issued based on the strongest evidence, in compliance with statutory timelines.

  5. Communication

    Results are shared promptly and securely with all parties.

IDRE Form​

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Independence, Integrity, and Compliance

As an Independent Dispute Resolution Entity, EdiPhy Advisors operates with strict adherence to conflict-of-interest standards and regulatory obligations. Independence and integrity are foundational to our role in the IDRE process. Parties can rely on EdiPhy Advisors to conduct reviews that are fair, defensible, and compliant.

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