EDUCATION CENTER · EVIDENCE FIRST
Start with plain-language guides, then check the official agency update that applies to your plan and situation.
CMS · MAY 29, 2026
CMS posted a final rule affecting the federal provider–payer dispute process under the No Surprises Act. This operational change does not, by itself, replace the appeal deadline printed on an individual member's denial notice.
CMS · REVIEWED MAR 13, 2026
CMS explains the federal external-review process and how state processes may apply. Confirm whether the plan is fully insured, self-funded, or governed by a state-specific route before relying on a generic timeline.
U.S. DEPARTMENT OF LABOR · REFERENCE
The Department of Labor's guide explains claims and appeals for private-sector employer plans. The plan document and denial notice remain the controlling records for a particular claim.