Federal regulators have completed a long-anticipated update to the No Surprises Act’s Independent Dispute Resolution (IDR) process. The most significant change is the administrative fee to initiate a dispute, which has dropped from $115 to $15 per party. The updated rule, finalized in late May, also requires health insurers to use standardized claim adjustment codes. […]
Introduction In medical billing, claim rejections and denials are inevitable—but understanding why they occur is the key to fixing them. One of the most important tools for decoding these denials is the Claim Adjustment Reason Code (CARC). Each CARC provides specific information about why a claim or a service line was adjusted, denied, or paid […]


