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National Law Review
National Law Review
6/22/2026
Government Cuts No Surprises Act IDR Fees 75%, Launches Centralized Dispute Gateway

Government Cuts No Surprises Act IDR Fees 75%, Launches Centralized Dispute Gateway

Original: No Surprises Here! Government Issues Final Rule in NSA, Streamlining IDR Process and Lowering Dispute Costs

Short summary

US government finalized No Surprises Act reforms: IDR administrative fees slashed 75% (from $115 to $15), standardized claim communication codes implemented, and a centralized IDR Gateway launching in 2026 to resolve 5M+ healthcare billing disputes faster.

  • Administrative fees cut 75% effective June 4, 2026
  • New standardized communication codes reduce ineligible disputes
  • Centralized IDR Gateway platform rolling out in 2026

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