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The hills above Missoula

Healthcare law and arbitration for the No Surprises Act.

Blue Mountain Law advises certified IDR entities on the rules, the operations and the scrutiny that comes with both. Blue Mountain Arbitration issues neutral determinations under the same federal and state programs. From Missoula, Montana, for clients across the country.

Healthcare law   Blue Mountain Arbitration

The north hills above Missoula. Stock, Yohan Marion on Unsplash.

Three practices, one standard.

Counsel, a neutral, and the operations work that keeps a program defensible.

Healthcare law

No Surprises Act counsel for IDREs. Policy interpretation, regulatory alignment and the frameworks that make determinations hold up.

Healthcare law

Arbitration

Neutral surprise billing determinations under federal and state programs, by certified federal arbitrators, on time.

Blue Mountain Arbitration

Consulting and training

Workflow design, quality assurance and training for IDR operations, built by people who have run them.

Consulting

The partners

Two attorneys, both certified federal surprise billing arbitrators, both from the IDR side of the table.

Madeline D. Hatfield

Madeline D. Hatfield

Founding partner and compliance officer. Ran federal and state IDR programs at Maximus and compliance work at Humana and Logan Health before founding the firm.

About Madeline

Hailey Forcella

Hailey Forcella

Founding partner and legal officer for Blue Mountain Arbitration. Managing attorney for the State of Montana before that. University of Montana School of Law.

About Hailey

Partner of the American Health Law Association. Sponsor of the NAIRO 2027 Annual Conference.

A training this season on surprise billing and dispute resolution. Dates and registration on the Training page.

See the training

News

October 2026

Three dates for anyone filing or arbitrating federal IDR disputes

Read

August 2026

TMA III: the Fifth Circuit resets how QPAs are calculated

Read

March 2026

Five mistakes disputing parties make in the IDR process, and how to avoid them

Read

In good company.

Sponsor of the NAIRO 2027 Annual Conference and partner of the American Health Law Association.

National Association of Independent Review OrganizationsAmerican Health Law Association
Blue Mountain Law, PLLC · Missoula, MontanaDirection 13 · John August Design