Be sure to have information available to identify the qualified IDR items or services. You will need to attest that the qualified IDR items or services are within the scope of the Federal IDR process.
Select your preferred certified IDR entity.
Step 2. IDRE Assignment Notification
The CMS Portal sends an email to both parties notifying them of the assigned IDRE.
Once both parties receive an email regarding the assigned IDRE, the IDRE receives the dispute.
If a party objects to the eligibility of a dispute, this should be included in the IDRE Selection Response Form. You should provide documentation to support the eligibility objections. Objections should not be made after the selection of the IDRE.
Step 4. Request for Payment of Fees
If a dispute is determined eligible, Maximus will request payment for the administrative fee and entity fee via email invoice.
If a dispute is determined to be ineligible for the Federal IDR process, Maximus will request payment for the administrative fee only. 45 CFR 149.510(d)(2)(i).
To learn more about the payment portal, go to Making payments.
Step 5. Notice of Offer
If a dispute is determined eligible, the Federal IDR Portal will send an email to the parties notifying them that an offer is due; the email will contain a link by which a party can submit an offer and supporting offer documents.
After the deadline for submitting payments and offers has passed, Maximus will move forward with the resolution of the dispute. A written decision will be issued to the parties via email.
