CMS opens sign-ups for surprise medical billing dispute portal

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ByChristian Robles,
Technology Reporter, Nextgov/FCW

October 28, 2026 01:40 PM ET

The platform seeks to make it easier for providers, payers and the agency to keep tabs on a complicated federal arbitration process.

Health care providers and payers will soon manage disputes involving surprise out-of-network medical bills through a centralized platform from the Centers for Medicare and Medicaid Services, replacing legacy single-use web forms.

Through the IDR Gateway platform, users will be able to start and respond to the federal independent dispute resolution, or IDR. They will also be able to access information through dashboards and reports and monitor dispute updates throughout the IDR process, according to CMS.

The No Surprises Act created the IDR process to settle out-of-network payment disagreements between providers and payers, protecting patients from negotiations and surprise medical bills.

The IDR Gateway platform was...

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