IDR Entity Certification and IDR Entity Monthly Reporting

No Surprises Act: IDR Process

OMB: 1210-0169

IC ID: 248857

Documents and Forms

Document Name Document Type
7. Tri-dept - IDR certification application (data elements) clean 9.28.21.docx Other-IDR Certification Application
8. Tri-dept - notice of petition for certification denial or revocation clean 9.28.21.docx Other-Notice of Petition for Denial or Revocation
9. Tri-dept - monthly IDR entity reporting requirements (data elements) clean 9.28.21.docx Other-Monthly IDR Entity Reporting Requirements
APPENDIX 6 - IDRE Written Payment Determination FINAL CHANGE 2.23.23.docx Other-Certified IDR Entity Written Determination