Rep. Pallone Probes No Surprises Act Arbiters Amid Concerns Over Rising Costs and Dispute Volume
Representative Frank Pallone, a leading Democrat and Ranking Member of the Energy and Commerce Committee, has initiated an investigation into the independent dispute resolution (IDR) entities responsible for arbitrating disputes under the No Surprises Act. Pallone sent letters to six certified IDR entities—C2C Innovative Solutions, Inc.; Commence; Dane Street, LLC; EdiPhy Advisors, LLC; National Medical Reviews, Inc.; and ProPeer Resources, LLC—requesting detailed information on their arbitration processes and compliance with the law. This probe comes amidst growing concerns about the increasing volume of claims reaching IDR and escalating payments for services resolved through arbitration. A study from August by Georgetown University Center on Health Insurance Reforms estimated that IDR-related costs reached $22.4 billion by the end of 2025, with 2.6 million disputes initiated in 2025, marking a 77% increase from 2024. Pallone expressed concern that many claims reaching IDR may be ineligible, potentially ... 
