Resources
Federal IDR resources for provider and RCM teams
Plain-English guides to Independent Dispute Resolution under the No Surprises Act, built for teams that need to route claims correctly, protect deadlines, and understand what CMS data says about the market.
Start here
Federal IDR win rates and median awards
The quarterly numbers: provider win rate, median award versus the QPA, cycle time, and the full table for all 22 specialties.
No Surprises Act changes in 2026 and 2027
The $15 administrative fee, 50-item batching, new CARC/RARC remittance codes, and what each date means for filing economics.
Ways to pursue underpaid NSA claims
Contingency firms, IDR attorneys, software, and in-house filing compared on cost, control, and when each model fits.
What is IDR in healthcare?
A complete introduction to federal Independent Dispute Resolution, QPA, certified IDR entities, and why the process exists.
Federal IDR
How the federal No Surprises Act dispute process works and when it applies instead of state law.
No Surprises Act IDR
Eligibility, deadlines, QPA, and CMS data for NSA payment disputes.
Which claims does IDR apply to?
An eligibility guide for emergency services, ancillary claims, air ambulance, state-law routing, and procedural requirements.
The NSA IDR process timeline
A step-by-step visual timeline from initial payment through open negotiation, IDR initiation, offer submission, and payment.
Deep dives
QPA under the No Surprises Act
What the qualifying payment amount is, why it matters, and how it affects IDR offers.
Open negotiation
The 30-business-day pre-IDR period, required notices, and evidence preparation.
No Surprises Act arbitration
How final-offer arbitration works and what certified IDR entities can consider.
Certified IDR entities
How IDRE selection, fees, conflicts, and offer review work.
Federal IDR portal
What providers should prepare before filing a dispute through the federal portal or IDR Gateway.
No Surprises Act by specialty
No Surprises Act for emergency medicine
Emergency services, ED E/M codes, federal IDR, payer mix, and QPA benchmarks.
No Surprises Act for anesthesia
Facility-based anesthesia, consent issues, code mix, QPA multiples, and payer behavior.
No Surprises Act for radiology
Facility-based imaging, emergency radiology, service-code mix, payer behavior, and IDR strategy.
No Surprises Act for IONM and neurodiagnostics
IONM routing, monitoring-code benchmarks, QPA multiples, and payer/state patterns.
No Surprises Act for pathology and lab
Protected claim routing, lab-code benchmarks, payer mix, and federal IDR workflow.
Billing and state-law guides
Anesthesia billing and No Surprises Act IDR
Provider-focused IDR benchmarks for anesthesia billing teams: payer behavior, code mix, QPA multiples, and deadlines.
Cardiology billing and No Surprises Act IDR
How cardiology groups can benchmark federal IDR outcomes by code, payer, state, and QPA multiple.
California No Surprises Act guide
Routing questions, federal IDR benchmarks, payer mix, and service-code data for California claims.
Colorado surprise billing law guide
State-law routing context and federal IDR benchmark data for Colorado surprise-billing disputes.
Federal IDR benchmarks
Federal IDR benchmarks by state, payer, specialty, and code
Data-backed commercial pages for provider and RCM teams using CMS Federal IDR public use files.
Texas federal IDR benchmarks
The largest state market in the current benchmark set, with payer, code, and IDRE mix.
UnitedHealthcare federal IDR outcomes
Payer-level outcomes, top states, service codes, filing representatives, and award multiples.
Emergency medicine federal IDR benchmarks
Specialty-level data for ED E/M codes, state mix, payer behavior, and outcomes.
Use the data behind the guides
IDR Explorer analyzes CMS Federal IDR public use files across specialties, states, provider groups, payers, and service codes. Start with the data explorer or request a free NSA audit for your group.