Surprise Medical Billing

Ready To Help You Navigate the No Surprises Act as a CMS Certified IDRE

Kepro is certified by the Centers for Medicare and Medicaid Services (CMS) to serve as an independent dispute resolution entity (IDRE), or third-party arbiter, in the IDR process established by the No Surprises Act (NSA). The Act created new federal safeguards as of January 2022 against surprise medical bills that arise when consumers inadvertently receive care from out-of-network hospitals, doctors, or other providers they did not choose. When a provider or facility and a health plan can’t agree on the payment amount for an out-of-network service experienced by a patient, they are now able to initiate the new federal independent dispute resolution process using an approved arbiter like Kepro. Over the past 6 years, we have completed thousands of IDR reviews for surprise medical billing.

Our more than 35 years of experience in healthcare and the deep experience of our independent medical reviews business unit, IMEDECS,  allows us to bring our extensive knowledge, capabilities and our strong bench of experts to every case we manage.  Through our medical review program, we have more than 3,000 independent, board-certified medical experts and certified professional coders who are dedicated to quality health care and improved clinical outcomes – successfully resolving thousands of cases to date with care, consistency, medical expertise and non-bias.

To learn more about our IDR services, contact us via email at nosurprisesact@kepro.com

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Here's Why You Partner With Kepro

We have a national track record for IDR and a proven system that will provide a variety of benefits when it comes to the federal process.

No Surprise Billing-Specific Experience

We have been successfully navigating no surprise billing disputes for more than 6 years. We understand complexities, respect neutrality and the importance of making progress under specific timeframes to come to fair resolutions.

Clinical Expertise

More than 3,000 top experts in numerous medical areas serve on our medical review panels, offering unsurpassed quality, depth and breadth. All have certifications recognized by the American Board of Medical Specialties (ABMS).

Fair and Independent

Our team has managed thousands of cases that have different requirements, issues and timeframes. We are careful to follow all mandatory guidelines throughout the process that help ensure constant independence and fair analysis. Our team also takes specific measures to ensure we have all necessary paperwork and feedback from all parties to complete an accurate and timely review and response.

Efficiency and Technology

Our process is automated, efficient and easy to use. Our proprietary technology allows us to manage the entire process electronically and also allows you to access our services 24 hours/day, 7 days a week.

URAC Accredited

We are a URAC accredited Independent Review Organization (IRO). Accreditation is only granted to organizations that can meet its rigorous standards and for a proven track record of fair and impartial peer review processes for both patients and physicians.

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How Can Kepro Help You?

To learn more about our IDR services, contact us via email at nosurprisesact@kepro.com

To learn more about the CMS requirements and the new federal processes under the NSA, please visit the CMS website. If you are a provider and would like to submit a claim, please visit the CMS portal here.