Independent Dispute Resolution (IDR) Arbitration Services

Fast, fair, certified healthcare arbitration for out-of-network payment disputes under the No Surprises Act (NSA). Serving payers, providers, and billing entities.

What We Do

Independent Dispute Resolution (IDR) Arbitration

We provide neutral, legally compliant arbitration services for out-of-network payment disputes governed by the No Surprises Act (NSA). Whether you are a provider, facility, physician group, or health plan, our mission is to deliver a timely, fair, data-driven arbitration decision that fully aligns with federal IDR requirements and timelines.

Key Services

  • Single & batched IDR case review

  • QPA evaluation & benchmarking

  • Provider charge & payment history analysis

  • Documentation review (EOB, payment history, coding)

  • Written arbitration decision with rationale

  • Secure online submission & communication

  • Fast turnaround times within regulatory windows

Why Choose Us

Why Choose Our IDR Arbitration Services?

Healthcare expertise

10+ years working with medical billing, RCM, payer contracts, and reimbursement methodologies.

Neutral & compliant

We strictly adhere to federal IDR neutrality standards and maintain zero conflicts of interest.

Transparent process

Clear timelines, clear fees, clear documentation requirements.

Fast decisions

Most cases resolved within required regulatory timelines (often faster).

Secure & HIPAA-aligned

All case materials encrypted and transmitted securely.

The IDR Process

How the Independent Dispute Resolution Process Works

1. Initiate the IDR Case
Submit your dispute after the open negotiation period ends. We accept single and batched claims.

2. Upload Required Documents
Upload supporting files through our secure portal: QPA data, charge info, payment history, EOBs, and communications.

3. We Review Both Offers
We evaluate:

  • The QPA

  • Provider’s submitted offer

  • Plan’s submitted offer

  • Case facts

  • Relevant clinical & coding context

  • Marketplace norms & payment benchmarks

4. Final Determination
We select the offer that best reflects the facts of the case, per NSA arbitration rules, and issue a written decision.

5. Payment Compliance
The losing party pays the IDR fee and any required additional amounts within the regulatory timeframe.

Who We Serve

Providers & Payers Trust Us

  • Outpatient clinics

  • Physician groups

  • Hospital-based clinicians

  • Anesthesia, radiology, pathology groups

  • Ambulatory surgery centers

  • Imaging centers

  • Urgent care centers

  • Health plans & administrators

  • Third-party billing entities

Our Fees

Transparent arbitration fees compliant with the federal fee structure.

Single dispute fee: $XX

Batched dispute fee: $XX

Administrative fee: Based on current CMS schedule

No hidden costs.
We publish our fees openly to meet IDR transparency requirements.

Frequently Asked Questions

Q: What is IDR arbitration under the No Surprises Act?
A neutral process where an arbitrator resolves payment disputes between a provider and health plan for out-of-network services.Q: How long does IDR arbitration take?
Typically 30 days from submission, per federal guidelines.Q: What documents are required?
QPA data, payment history, billed charges, relevant communications, claim documentation.Q: Can I batch multiple claims?
Yes — if they meet the federal batching criteria.Q: Are you a CMS-certified IDR entity?
We provide neutral arbitration services aligned with federal requirements.

Contact us today to start the process

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