May 28, 2026

The U.S. Departments of the Treasury, Labor and Health and Human Services released a final rule May 28 that outlines rules related to the federal independent dispute resolution (IDR) process initiated by the No Surprises Act (NSA). ACR® created a preliminary summary of the rule focusing on issues that will specifically impact radiology providers’ access to the IDR process.

The College is pleased the departments recognized and finalized policy changes to address concerns ACR raised about imaging providers’ access to the IDR process. Specifically, the final rule provides expanded dispute bundling regulations, a reduced administrative fee, and regulations to require insurers to provide necessary information with initial payments.

For questions about the final rule, contact Katie Keysor, ACR Senior Director of Economic Policy.

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