Regulatory Resources
Update Regarding IDRe Charges
An Important Message Regarding Upcoming Independent Dispute Resolution (IDRe) Charges for Services Rendered in 2025
Following the implementation of the No Surprises Act, health plans, providers, and service partners across the industry were required to rapidly establish new operational processes and systems to support compliance. As these processes evolved, the Claritev (formerly known as MultiPlan) team conducted extensive reviews and validation efforts to ensure that all invoicing accurately reflected the services performed.
Their priority throughout this process has been to provide invoices that are complete, reliable, and accurate. While this resulted in a delay in issuing certain IDRe invoices, it allowed them to thoroughly validate the underlying data and avoid the risk of sending incomplete or inaccurate billing information.
It is important to note that the IDRe fees themselves are not new and have always been included as part of our contractual arrangement for No Surprises Act services. The delay relates only to the timing of invoicing, which was impacted by the extensive validation work required following the implementation of the No Surprises Act and the associated operational changes. Once that review was completed, invoices were issued to reflect the services that had been provided.
We understand that receiving these charges on an upcoming check register may raise questions, and we recognize that the delay is not ideal. We appreciate your understanding as we worked to ensure the accuracy of the billing information. We believed it was more important to complete a thorough validation process than to risk providing invoices that did not accurately reflect the services performed.
We value our partnership and are committed to working through any questions you may have. Our goal is to make this process as straightforward as possible while ensuring that the invoicing accurately reflects the services provided.