Open Negotiation Notice for Federal IDR
This document provides the required notice template and instructions for initiating the 30-business-day open negotiation period that precedes use of the Federal Independent Dispute Resolution (Federal IDR) process for certain out-of-network services. It applies to group health plans, health insurance issuers, FEHB carriers, nonparticipating providers, facilities, and air ambulance providers where Federal IDR is available.
No material clinical or coverage changes in this revision.
When Federal IDR Is Available
Federal IDR eligibility and procedural criteria
Situations in which Federal IDR may be pursued after using the open negotiation notice and waiting the open negotiation period:
ALL of the following
Service types
- Out-of-network emergency services.
- Nonemergency items and services furnished by nonparticipating (out-of-network) providers at participating (in-network) health care facilities.
- Out-of-network air ambulance services furnished by nonparticipating providers of air ambulance services.
ALL of the following
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.