State IDR guide
Alaska Independent Dispute Resolution Guide
- Responsible agency
- Alaska Division of Insurance
- Review date
Alaska is not listed in the January 2023 CMS chart's bifurcated-process column, but CMS separately notes Alaska's position that 3 AAC 26.110(a) applies to out-of-network claims paid by insurers, including air ambulance claims. Treat jurisdiction as claim-specific.
Plan and jurisdiction considerations
Confirm whether the coverage is Alaska-regulated. ERISA self-funded plans ordinarily use Federal IDR when federal eligibility requirements are met.
Federal fallback
Use the Federal IDR analysis when no Alaska payment standard controls and the item or service is otherwise a qualified IDR item or service.
Timing and fees
Alaska procedure and payer appeal deadlines may apply. Verify the current Division instructions. For eligible federal disputes, open negotiation ordinarily lasts 30 business days and initiation ordinarily follows within 4 business days; the federal administrative fee is $15 per party for disputes initiated on or after June 11, 2026.
Air ambulance considerations
CMS notes Alaska's assertion concerning air ambulance claims, while federal guidance generally treats air ambulance services as Federal IDR-eligible. Confirm the current federal and Alaska position for the specific claim.