24x Insurer’s Rate: Neurology Disputes Dominate No Surprises Act Payouts

In this Becker’s Spine Review article, The Phia Group’s Brian O’Hara weighs in on neuromonitoring as a significant area of concern within the No Surprises Act’s Independent Dispute Resolution process. The article highlights CMS data showing that neurology and neuromuscular disputes produced the highest payout multiples among high-volume specialties in the second half of 2025, with prevailing offers reaching roughly 24 to 26 times the qualifying payment amount.