On June 4, 2026, the Departments of Health and Human Services, Labor, Treasury, along with the Office of Personnel Management issued a final rule on the Independent Dispute Resolution (IDR) Operations under the No Surprises Act (NSA). In this Alert, we explain the major structural and operational updates in the final rule designed to improve communication between payers and providers, reduce ineligible disputes, lower administrative fees, and establish a digital platform to process claims. We also provide background information on the Federal IDR process, an analysis of client impact, and action items that clients should take in response to the final rule.
This Alert is most relevant for employers who offer self-insured group health plans.
