Most closed No Surprises Act disputes were deemed ineligible

Nearly 70 percent of the No Surprises Act independent dispute resolution cases that have been closed were deemed ineligible for the process, according to a recent CMS report. 

Between April 15 and Sept. 30, 2022, there were 90,078 disputes initiated, according to the report. Of those cases, 23,107 have been closed. A payment determination was reached in 15 percent of cases, and disputes were closed in 69 percent of cases because they were found to be ineligible for the process. 

The remaining 16 percent of cases were either withdrawn by the disputing parties, were closed because an outside settlement was reached or were closed for other reasons such as batching, data entry errors or unpaid fees, the report said. 

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