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HHS/CMS RIN: 0938-AV39 Publication ID: Fall 2023 
Title: ●Federal Independent Dispute Resolution Process Fees (CMS-9890) 

This document sets forth requirements related to the fees established in the No Surprises Act for the Federal independent dispute resolution (IDR) process, which was established as part of the Consolidated Appropriations Act, 2021 (CAA). This rule finalizes the methodologies used to calculate the administrative fee and the certified IDR entity fee ranges for single and batched disputes. This document also finalizes the amount of the administrative fee and the certified IDR entity fee ranges for disputes initiated on or after January 1, 2024.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 45 CFR 149   
Legal Authority: Pub. L. 116-260, Division BB, title I & title II   
Legal Deadline:  None
Action Date FR Cite
NPRM  09/26/2023  88 FR 65888   
NPRM Comment Period End  10/26/2023 
Final Action  12/00/2023 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related Agencies: Joint: DOL/EBSA, TREAS/IRS, OPM; 
Agency Contact:
Adrianne Patterson
Director, Payment Policy and Financial Management Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Consumer Information and Insurance Oversight, MS: WB-23-03, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-0686