The SDRE is an independent entity that has been certified by CMS to review disputes between patients and providers and to make impartial payment determinations.

An uninsured (or self-pay) individual (or their authorized representative) may initiate a dispute by visiting this CMS web page on the dispute resolution process. A non-refundable administrative fee of $25 is required to process a dispute and is collected by C2C as part of the dispute process.

To learn about the PPDR process and its requirements, read about the No Surprises Act.