The Texas Department of Insurance administers Independent Dispute Resolution (IDR), a mediation and arbitration process for certain health care billing disputes between out-of-network providers and health plans. Mediation is used for billing disputes between out-of-network facilities and health plans. Arbitration is used for billing disputes between out-of-network health care providers (not facilities) and health plans. Medical services or supplies received on or after January 1, 2020 may be eligible for IDR. To learn more, go to the TDI webpage, Mediation and arbitration of medical bills.