Federal No Surprises Act IDR entity
Trilatic is preparing to operate as an independent dispute resolution entity under the No Surprises Act (45 CFR 149.510). It will decide out-of-network payment disputes between providers, facilities, and providers of air ambulance services on one side and group health plans and health insurance issuers on the other, on the written record and within the statutory deadlines, and will publish how.
Status: Not certified. An application for certification as an independent dispute resolution entity under 45 CFR 149.510 is in preparation. Not accepting disputes.
Every determination is decided on the written submissions -- no hearing, no ex parte contact, the same process for every dispute regardless of who selected us.
Eligibility, review, and determination each run against the federal IDR clock, and our own turnaround against it is published, not asserted.
Timeliness, outcome mix, factor usage, and calibration are published quarterly, with small cells (n<11) suppressed rather than rounded.
Business days, counted under 45 CFR 149.510(c). Selection shows the joint-selection/random-assignment range; eligibility, determination, and fee disposition are the outer statutory deadlines, not our own turnaround (published separately at service commitments).
A preview of the full resolver record; small cells (n<11) are suppressed, not rounded.
What a determination considers, what it may not, and how a credentialed reviewer
decides and signs. Version nsa_idr_passport_v1.
Our timeliness, outcome mix, factor usage, and calibration, published quarterly with small cells suppressed.
View the resolver record →Our published turnaround and rationale commitments, each shown next to our live operating record.
View service commitments →An anonymous, PII-free tool to check federal-IDR eligibility before naming or objecting to an entity.
Open the pre-screen →Naming us, batching, timing, and fees, for the party filing a dispute.
Read for initiating parties →What to expect if we are named, our conflict and objection process, and what we publish.
Read for non-initiating parties →Every dispute-resolution program in our catalog: governing cite, how a review concludes, clocks, and fee rule.
View programs →/verify/<determination id> — every determination we issue is sealed on a
hash chain; any party or court can verify a determination by its id.
Case-management software for other certified neutrals -- TDI-certified Texas SB 1264 arbitrators, Washington BBPA arbitrators, and certified federal IDR entities -- run their own cases on the same engine. Every draft is a proposal the arbitrator of record edits and signs; Trilatic never decides a case. $99.00 per case. See the workbench.
Case-team personnel (attorneys and senior reviewers holding the required arbitration credentials) are engaged under contingent, per-case agreements, and are listed by name and credential once this entity's certification is complete.
Trilatic screens every dispute against a single family counterparty ledger and recuses per party under 45 CFR 149.510(a)(2)(iv)(D); the structure and the controls are set out at /independence.