Independent Dispute Resolution (IDR)
C2C is designated as a certified Independent Dispute Resolution Entity (IDRE) by the U.S. Department of Health and Human Services, the Department of Labor, and the Department of the Treasury.
Drawing on our federally recognized expertise, we can help providers or facilities resolve disputes with health plans about payment amounts for out-of-network services covered by the federal No Surprises Act.
By choosing C2C, you will gain access to a trusted, quality-focused organization with experienced attorneys, physicians and other specialized professionals who will review your case and make a payment determination that is independent, fact-based and fair. If you are a plan or provider and would like to submit a dispute, please visit the CMS portal.
URAC Accredited Independent Review Organization
Following a rigorous screening process, C2C achieved URAC accreditation in 2017.
With C2C, the review process and decisions:
- Are evidence-based, timely, clear and free of conflict,
- Conducted by actively practicing, board-certified physicians, nurses, coders, attorneys and other allied health professionals and
- Compliant with Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health (HITECH) Act.
Why Choose C2C
Federal Recognition
Certified IDRE designated by federal agencies.
URAC Accreditation
Meets rigorous quality and independence standards.
Experienced Experts
Physicians, attorneys, coders, and specialists with decades of experience.
Nationwide Panel
Broad national coverage ensuring impartial review.
Proven Expertise in Independent Healthcare Review
A URAC-accredited and ISO-certified organization, C2C brings more than 20 years of experience as a nationally recognized Qualified Independent Contractor (QIC) and Independent Review Organization (IRO).
Leveraging deep knowledge of federal and commercial review processes, C2C delivers timely, accurate, and defensible determinations across a broad spectrum of healthcare services.
Our Team
C2C’s nationwide panel includes more than 1,200 board-certified physicians, nurses, coders, attorneys, and allied health professionals experienced in the review and application of statutes, laws, regulations, policies, guidelines, and coverage criteria relevant to your case.
C2C’s fully licensed attorneys are certified by the American Health Law Association and provide unbiased expertise. With C2C, you can be assured your case will be addressed by a topic-area expert.
Federal IDR Process & CMS Resources
Federal IDR Process
Any inquiries related specifically to the Federal Independent Dispute Resolution (IDR) process should be directed to the official CMS IDR email.
No Surprises Act
For questions regarding the No Surprises Act or information regarding any of its provisions, please visit the official CMS No Surprises website.
To learn more about C2C’s other health care solutions, please visit C2C INC.
