State IDR guide
Maryland Independent Dispute Resolution Guide
Maryland Insurance Administration
Maryland is a bifurcated state, and its All-Payer Model and state insurance rules can affect forum selection. Applicability is especially dependent on service setting, product, and payment method.
Plan and jurisdiction considerations
Determine whether an All-Payer Model amount or specified state law sets the total payment. Confirm plan type and regulator before using any dispute pathway.
Federal fallback
Federal IDR is available only when no applicable All-Payer Model Agreement or specified state law determines the amount and federal requirements are otherwise met.
Timing and fees
Maryland processes and hospital-rate rules have distinct procedures. Verify current MIA and Health Services Cost Review Commission material; federal fees and deadlines apply only to federal disputes.
Air ambulance considerations
Air ambulance claims generally receive a separate Federal IDR analysis.