May 11th, 2026
10:00 AM - 11:00 AM ET
Recent litigation and regulatory challenges surrounding the Independent Dispute Resolution (IDR) process—including the Halo complaint and similar actions brought by managed care organizations—highlight growing scrutiny of provider IDR practices. Health plans are increasingly alleging that providers have submitted excessive, ineligible, or even fraudulent IDR filings, raising significant compliance and financial risks.
This webinar will examine key takeaways from these disputes and offer practical guidance for providers seeking to strengthen their IDR processes and mitigate enforcement and litigation exposure. Drawing from recent allegations and emerging trends, our speakers will discuss best practices for evaluating IDR eligibility, managing submissions, and overseeing third‑party consultants.
Topics will include:
- How to respond when a health plan asserts that a service is ineligible for IDR, and why providers must proactively address and refute ineligibility arguments at the time of IDR submission
- The importance of ensuring that IDR offers do not exceed previously billed charges, and strategies for implementing internal safeguards
- Managing uncertainty over whether a dispute belongs in federal or state IDR, and why providers must make a clear choice upfront rather than pursuing parallel processes
- Risks associated with large or irregular batching of IDR submissions, including timing concerns around holidays and weekends
- Oversight considerations when using consultants to manage IDRs, particularly on a contingency‑fee basis, and how contractual protections and robust compliance programs can help reduce risk
Who Should Attend:
This program is designed for healthcare providers, compliance professionals, and legal teams involved in IDR strategy and reimbursement disputes who want to stay ahead of enforcement trends and protect their organizations in an increasingly scrutinized environment.
