Maximus is a Federal No Surprises Act (NSA) Independent Dispute Resolution (IDR) entity

We have been selected to serve as an IDR Entity to arbitrate disputes between providers, facilities and air ambulance providers, and group health plans/health insurance issues and Federal Health Benefits (FEHB) Program carriers.

We arbitrate your disputes to ensure fast, accurate decisions

Our dispute management process for the NSA is backed up by our extensive experience performing independent reviews for federal and state clients.

Trained Industry IRO Experts

Ensure impartial resolutions

Best-in-class Process

Drives prompt decisions

Robust QA

Facilitates accurate decisions

Accreditation

Maximus has earned FedRAMP authorization, recognition as a Quality Improvement Organization (QIO)-like entity, certifications in ISO 9001, ISO 20000, and ISO 27001, and other accreditations.

  • Maximus has been granted full accreditation by URAC as an Independent Review Organization - External Review. URAC develops national standards to improve quality, protect consumers and improve health outcomes. 
  • Maximus is a NAIRO member. NAIRO is the leader in independent medical review
  • Maximus is ISO 9001:2015, ISO/IEC 20000-1 Certified, ISO/IEC 27001 Certified