Data / Federal rules / 2026-11140
Federal Independent Dispute Resolution Operations
The Health and Human Services Department published this final rule in the Federal Register on June 4, 2026. It took effect on August 3, 2026.
SpecStream is the live web data engine for teams and agents. It reads every rule and proposed rule in the Federal Register each morning, and this page is that reading. Name your industry once and new rules, comment deadlines and effective dates arrive in your sheet, CRM, Slack or agent as they are published.
What the agency says
This document sets forth these final rules related to certain provisions of the No Surprises Act regarding the Federal independent dispute resolution (IDR) process, which was established as part of the Consolidated Appropriations Act, 2021 (CAA). These rules finalize new requirements relating to the disclosure of information that group health plans and health insurance issuers offering group or individual health insurance coverage must include along with the initial payment or notice of denial of payment for certain items and services subject to the surprise billing protections in the No Surprises Act. These final rules also require plans and issuers to communicate information by using claim adjustment reason codes (CARCs) and remittance advice remark codes (RARCs), as specified in guidance, when providing any paper or electronic remittance advice (ERA) to an entity that does not have a contractual relationship with the plan or issuer. This document also finalizes amendments to certain requirements related to the open negotiation period preceding the Federal IDR process, the initiation of the Federal IDR process, the Federal IDR dispute eligibility review process, and the payment and collection of administrative fees and certified IDR entity fees. This document also finalizes the definition of bundled payment arrangements, amends requirements related to batched items and services and amends the rules for extensions of timeframes due to extenuating circumstances. Additionally, this document finalizes provisions that require plans and issuers to register in the Federal IDR portal. In accordance with Federal law, a summary of these rules may be found at https://www.regulations.gov/.
Key facts
- Document number
- 2026-11140
- Type
- Final rule
- Action
- Final rule
- Agency
- Personnel Management Office; Treasury Department; Internal Revenue Service; Labor Department; Employee Benefits Security Administration; Health and Human Services Department
- Published
- June 4, 2026
- Takes effect
- August 3, 2026
- Dates
- Effective date: These final rules are effective on August 3, 2026.
- Docket
- TD 10049; CMS-9897-F
- Regulation ID (RIN)
- 0938-AV15; 1210-AC17; 1545-BQ55; 3206-AO48
- Code of Federal Regulations
- 5 CFR 890; 26 CFR 54; 29 CFR 2590; 45 CFR 149
- Topics
- Administrative practice and procedure; Employee benefit plans; Excise taxes; Government employees; Health care; Health facilities; Health insurance; Health professions; Pensions; Reporting and recordkeeping requirements
- Significant
- Yes, under Executive Order 12866
- Pages
- 182
Other documents from the Health and Human Services Department
Everything from the Health and Human Services Department · Rules on administrative practice and procedure · Rules on employee benefit plans · Rules on excise taxes · Published in June 2026
Read from the Federal Register API, last updated 2026-10-23. The document on federalregister.gov is the official record; dates and dockets can change through later corrections. Free to reuse with credit to SpecStream under CC BY 4.0.