No Surprises in Dispute Resolution: Final Rule Improves IDR Process for Providers

Key Takeaways The 2026 Federal IDR Final Rule requires payers to provide additional information to providers when a claim is subject to the No Surprises Act, including standardized Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs), resolving longstanding gaps in communication that have triggered CMS enforcement inquiries against providers. The final rule makes changes to the open … Continued