The Independent Dispute Resolution (IDR) process can recover significant revenue — but only if you avoid common pitfalls. Here are the five mistakes that cost providers the most money.
Mistake 1: Filing Ineligible Claims
Not all claims qualify. Filing ineligible disputes wastes fees.
Mistake 2: Missing Deadlines
The 30-day negotiation and 4-day notice windows are unforgiving.
Mistake 3: Weak Evidence
Submitting bare-bones filings without comparator contracts or Medicare benchmarks leads to losses.
Mistake 4: Not Batching
Filing claims one by one increases costs. Batching cuts fees and strengthens the case.
Mistake 5: Skipping Enforcement
Even after a win, insurers may delay payment unless you follow up.
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