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Healthcare law for a national field.

Blue Mountain Law advises certified IDR entities on the No Surprises Act. Blue Mountain Arbitration decides surprise billing disputes under the same programs, as a neutral.

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

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Madeline D. Hatfield
Founding partner, compliance officer, certified federal surprise billing arbitrator

Missoula, Montana

The Missoula valley in blue

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

Blue Mountain Law, PLLC

Counsel to the entities that decide.

No Surprises Act policy, IDR operations and regulatory compliance for IDREs, from two attorneys who have run federal and state programs. Advice written for the people who have to act on it.

Healthcare law

Blue Mountain Arbitration, LLC

The neutral when billing becomes a dispute.

Surprise billing arbitration under the federal No Surprises Act and state programs. Certified arbitrators, a panel with capacity, determinations on time.

Blue Mountain Arbitration

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

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 8 · John August Design