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No Surprises Act IDR in Arizona

Arizona: state dispute resolution vs. federal IDR

Arizona's surprise billing law provides a patient-initiated dispute process; provider-payer disputes under the No Surprises Act go to federal IDR. How we file.

Arizona's program is narrower than it looks

Arizona enacted a surprise-billing dispute process before the No Surprises Act, but it is largely patient-initiated and applies to balance bills above a dollar threshold. It was not built as a provider-versus-payer reimbursement arbitration for the full range of out-of-network claims.

Practical routing: for services covered by the No Surprises Act, the provider's payment dispute with the plan is generally a federal IDR matter. That's where an underpaid emergency or ancillary claim gets repriced.

What we do for Arizona groups

  • Screen remits for NSA coverage and IDR eligibility
  • Run federal open negotiation and initiate within the four-business-day window
  • Batch disputes by payer and service code
  • Build offers on the factors arbitrators are permitted to weigh, and follow payment after the award

We confirm current state rules and plan type before every filing.

Which process applies to your claims?

Send 90 days of out-of-network remits. We'll tell you claim by claim: federal IDR, state process, or not disputable — plus what comparable disputes have paid.

Free claims review

Related

How federal IDR works
IDR eligibility checklist
Deadline calculator
Other states

Find out what your out-of-network claims are actually worth.

Send us a sample of recent OON remits. We'll tell you which claims are IDR-eligible, what similar disputes have paid, and what we'd file. No fee unless we win you more.

Request a free eligibility review