IDR Can Be Confusing. We Make It Simple.

IDR is a binding arbitration process created under the No Surprises Act. When providers and insurers can’t agree on payment for out-of-network services, each side submits an offer. An independent arbitrator must choose one of the two offers. Providers prevail in the majority of cases, often winning 2–4× higher payments than the insurer’s initial offer.

• Emergency medicine
• Anesthesiology
• Radiology & pathology
• Air ambulance providers

These specialties face the highest rates of out-of-network claims and the steepest underpayments—making them strong candidates for IDR.

Typically, 30–90 days from filing to decision, once the case enters arbitration. Federal law requires insurers to pay the final award within 30 business days of the decision.

Each IDR case has an administrative fee ($115/party for 2024) plus arbitrator fees ($200–$840 per single claim, slightly higher for batches).

Recent data show providers win about 80–86% of IDR cases, depending on specialty. Awards are consistently well above insurer “QPA” offers.

We screen every claim before filing. If your case doesn’t qualify for the federal IDR process, you won’t waste time or fees—we’ll tell you upfront.

While they can, most practices find IDR filings to be time-consuming and error-prone. Missing deadlines or filing incomplete submissions leads to automatic losses. We specialize in the deadline discipline and airtight legal arguments that maximize win rates.