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Clarity, where the rules keep moving.

Blue Mountain Law advises certified IDR entities on the No Surprises Act, and Blue Mountain Arbitration decides surprise billing disputes under the same programs. Two attorneys who have run federal and state IDR programs, working from Missoula for clients across the country.

More about the firm

Missoula in snow

The Missoula valley in snow. Stock, 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

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 15 · John August Design