As the leading Independent Dispute Resolution Entity (IDRE) in the nation, FHAS provides a fair, efficient, and cost-effective resolution process for payment disputes between healthcare providers and health plans.
Some of our services include:
- Fair and transparent arbitration with binding decisions
- Expert arbitrators trained by the American Health Law Association
- Proprietary technology enhancing efficiency and reducing costs
With over 465,000 IDR disputes assigned and 350,000+ disputes closed, our proven track record speaks for itself. We ensure compliance with the No Surprises Act while delivering outcomes you can trust.
For nearly 30 years, FHAS, a URAC-certified Independent Review Organization, has been a trusted leader in providing expert medical reviews and claim adjudications across all medical specialties nationwide, including Medicare Fee-for-Service, Medicare Advantage, and both government-sponsored and commercial insurance disputes.
Some of our services include:
- 1st, 2nd, and 3rd-level external appeals and reviews
- Prior Authorizations
- Specialty-matched peer reviews
- Medical coverage determinations
- Bill review audits
Overseen by a seasoned Medical Director and supported by a Quality Assurance team, our comprehensive reviews uphold the highest standards of quality and integrity.
Since 1996, FHAS has delivered cost-effective, scalable legal and adjudication services to federal and state agencies, completing over 3.5 million adjudications. We specialize in Medicaid and social services eligibility reviews across various programs.
Some of our services include:
- Medicaid eligibility determinations
- Administrative agency hearings
- SNAP and cash assistance eligibility reviews
- Employment and collective bargaining arbitrations
Our experienced hearing officers and legal professionals bring deep knowledge and a meticulous approach to every case, ensuring fair and timely resolutions.
