Where complex rules meet practical guidance.

Blue Mountain Law, PLLC advises certified IDR entities on the No Surprises Act, and Blue Mountain Arbitration decides surprise billing disputes under the same programs. Two attorneys who know how the federal and state IDR programs work from the inside, working from Montana for clients across the country.

More about the firm

The Missoula valley and the mountains south of town in snow

Our Services

Providing legal counsel, neutral dispute resolution services, and strategic consulting on program operations and compliance.

Healthcare Law
No Surprises Act counsel for IDREs. Regulatory interpretation, policy alignment, and the legal support for an audit-ready program.
Healthcare Law

Arbitration
Neutral surprise billing determinations under federal and state programs, by experienced arbitrators, on time.
Blue Mountain Arbitration

Advisory Services
Workflow design, quality assurance and program development for IDR operations, built by people who have run them.
Advisory Services

Training
No Surprises Act and IDR training with the American Health Law Association, plus custom sessions for IDRE staff and arbitrators.
Training

The partners

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

Madeline D. Hatfield

Madeline D. Hatfield

Madeline Hatfield is a founding partner and Compliance Officer at Blue Mountain Law, PLLC, and a healthcare attorney with more than 12 years of experience advising providers, payors, and independent dispute resolution entities on federal and state regulatory compliance. She serves as legal counsel, an independent neutral, and a strategic advisor on program operations and compliance.

About Madeline

Hailey Forcella

Hailey Forcella

Hailey Forcella is a healthcare attorney, certified Federal Surprise Billing Arbitrator, and advisor to independent dispute resolution entities. She focuses on healthcare arbitration, regulatory interpretation, and operational consulting for dispute resolution programs. Drawing on experience as both a trial lawyer and former state managing attorney, she provides practical, well-reasoned guidance on complex legal and compliance matters.

About Hailey

News

A Trusted Partner

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

National Association of Independent Review Organizations
National Association of Independent Review Organizations
American Health Law Association
American Health Law Association