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State IDR guide

New York Independent Dispute Resolution Guide

Responsible agency
New York State Department of Financial Services

New York is a bifurcated state. Its IDR process can govern qualifying emergency and surprise bills involving New York-regulated coverage and eligible providers.

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01 / New York

Plan and jurisdiction considerations

Confirm DFS jurisdiction, coverage funding, assignment-of-benefits and notice facts, and whether New York law sets the amount. Self-funded ERISA plans generally remain federal.

02 / New York

Federal fallback

Use Federal IDR for eligible disputes outside the New York state process.

03 / New York

Timing and fees

New York has claim-specific IDR submissions, documentation, and deadlines; parties may also face IDRE costs under state rules. Check current DFS and IDRE instructions.

04 / New York

Air ambulance considerations

Air ambulance payment disputes generally use Federal IDR.

Not legal advice. This guide is general information. Consult current agency instructions and qualified counsel for legal interpretation.

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