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The Texas Medical Association filed a fourth lawsuit over the No Surprise Act on Jan. 30, this time focusing on higher fees both parties must pay for an independent dispute resolution process to solve billing disputes between providers and payers, reports Healthcare Dive. The Centers for Medicare and Medicaid Services increased the administrative fee for the IDR, or arbitration, process to $350 from $50 at the start of the year. The TMA alleges the change will “not only will make the process significantly more expensive for all IDR participants but will make it cost-prohibitive for many providers to access IDR at all,” according to the suit.