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New guidance from federal agencies explains how mandatory arbitration will work, beginning in 2022, to resolve disputes over unscheduled. They serve as health care mediators and health care arbitrators, perform medical peer reviews and frequently act as hearing officers in hospital disputes.If the insurer and provider or facility cannot agree on the amount for the service within 30 days, the dispute is settled through arbitration. A check or money order made payable to "Delaware Insurance Department" must accompany the completed. Arbitration: Used for billing disputes between out-of-network health care providers (not facilities) and health plans. Arbitration: Used for billing disputes between outofnetwork health care providers (not facilities) and health plans. In arbitration, you submit your dispute to a neutral third party who considers each side's position and then makes a decision. In arbitration, you submit your dispute to a neutral third party who considers each side's position and then makes a decision. The program is not mandatory, but provides a path to dispute resolution in lieu of formal litigation. To receive a copy of the Health Care Arbitration Rules, please complete this form.