HHS finalized a rule to streamline Federal Independent Dispute Resolution operations for out-of-network claims under the No Surprises Act. The update refines the administrative process and timelines for providers and payers contesting payment amounts for out-of-network emergency and non-emergency services at in-network facilities. For practices, this means the IDR portal interface and submission deadlines for new disputes will shift; the effective date is pending, but changes are expected within 90 days. Review the new HHS guidance and brief staff handling out-of-network claim disputes.