Streamlining Independent Dispute Resolution

Streamlining Independent Dispute ResolutionStreamlining Independent Dispute ResolutionStreamlining Independent Dispute Resolution

Resolving out-of-network payment disputes with integrity and excellence.

Streamlining Independent Dispute Resolution

Streamlining Independent Dispute ResolutionStreamlining Independent Dispute ResolutionStreamlining Independent Dispute Resolution

Resolving out-of-network payment disputes with integrity and excellence.

About Intel Care IPA

Our Mission

Intel Care IPA is a not-for-profit independent review organization dedicated to providing unbiased and thorough evaluations of medical disputes. Our team of experienced professionals ensures accurate, fair, and timely resolutions, helping to uphold the highest standards of billing, coding, managed care, medical, legal, claims administration and arbitration. We are committed to transparency and integrity in every review we conduct. 

About the IDR process

Our Approach

Tips for Initiating an IDR Dispute

What is the No Surprises Act?

At Intel Care IPA, we streamline dispute processing by carefully verifying eligibility, properly grouping claims, and offering detailed guidance to prevent common errors. We emphasize accurate data, prompt communication, and strict compliance with regulations to ensure an efficient and effective resolution process. 

What is the No Surprises Act?

Tips for Initiating an IDR Dispute

What is the No Surprises Act?

The No Surprises Act, effective January 1, 2022, protects patients from unexpected out-of-network bills for emergency room visits, non-emergency care at in-network facilities, and air ambulance services. It establishes a dispute resolution process, requires good-faith estimates for uninsured patients, and provides ways to appeal certain health plan decisions.

Tips for Initiating an IDR Dispute

Tips for Initiating an IDR Dispute

Tips for Initiating an IDR Dispute

 Before initiating a dispute through the Federal IDR process, review available resources and avoid common mistakes to ensure efficient processing. Key mistakes include submitting ineligible disputes, incorrect batching, missing required information, and failing to redact protected information; ensure accurate contact information and timely fee submission to avoid delays. 

Contact Us

Interested in joining the team?

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Resources

Overview of CMS IDR process

Initiating an IDR dispute

Plan and Issuer requirements

Provider requirements

Fast IDR

Intel Care IPA, Inc. 1O44O Little Patuxent Parkway, Ste 3OO Columbia, Maryland 21O44 Toll Free: 800-946-5149 Local: 410-635-4271 www.intelcareipa.com • info@intelcareipa.com

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