Claritev says No Surprises Act dispute system drives $5 billion in costs as filings top 5 million
Claritev
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- Claritev flagged rising No Surprises Act administrative costs, citing about $5 billion in systemwide pressure as dispute volumes exceeded 5,100,000 since April 2022.
- CMS data showed 248,452 independent dispute resolution initiations in January 2026, indicating sustained volume despite improving throughput.
- Claritev client data showed 47% of 2025 IDR submissions were ineligible, pointing to avoidable upstream filings that add fees and delay payments.
- The company pointed to CMS-9897-F as a shift toward standardized, auditable, technology-enabled IDR operations, with implementation risks still unclear.
- Claritev warned unaddressed NSA operational friction could feed back into higher healthcare costs, eroding affordability for covered populations.
Disclaimer: This news brief was created by Public Technologies (PUBT) using generative artificial intelligence. While PUBT strives to provide accurate and timely information, this AI-generated content is for informational purposes only and should not be interpreted as financial, investment, or legal advice. Claritev Corporation published the original content used to generate this news brief on June 15, 2026, and is solely responsible for the information contained therein.
