The application process opened Sept. 30, 2021, and will remain open to accept new applicants on a rolling basis. HHS said it will update the list as new organizations become certified.
Here is a breakdown of the eight organizations certified to oversee disputes in all states as of Jan. 1 and what they charge for a single, one-time determination. Providers and payers must pay the fee.
C2C Innovative Solutions — $299
Federal Hearings and Appeals Services — $365
Island Peer Review Organization — $500
Maximus Federal Services — $375
MCMC Services — $395
National Medical Reviews — $285
Network Medical Review Company — $397
ProPeer Resources — $450