State IDR · GA
Georgia out-of-network disputes
Arbitration through the Department’s GovLink portal.
Who it covers
Plans and services in scope
- Emergency care and out-of-network care at in-network facilities under state-regulated plans.
- The arbitration program began July 1, 2021.
Timeline
- Shortly after paymentProvider requests arbitration through GovLink, which notifies the insurer. Sources give both 30 and 60 days for this window.
- Negotiation periodParties may settle before the arbitrator decides.
How Revise handles it
The engine uses the shorter of the published windows until the Department confirms the current rule, so a Georgia claim never misses either reading.
Fees
Arbitration fees are set by the Department’s rules. Confirm the current amounts before filing.
Where federal IDR applies
Self-funded employer plans go to the federal process unless state law brings them in.
Other states
Send us one month of remits.
We’ll show you what you left on the table.
Seven business days. No cost. A line-by-line report of eligible claims you didn’t file, QPAs that don’t add up, and awards you were never paid.
Sources
- 15Georgia Office of Commissioner of Insurance, Rule 120-2-106 (Surprise Billing) under O.C.G.A. 33-20E. Source