Trusted dispute resolution experts
Sophisticated Advocacy Seamlessly Managed
Comprehensive IDR management powered by specialized expertise, data-driven strategy, and a commitment to delivering confidence through every stage of the dispute process.
Comprehensive IDR management powered by specialized expertise, data-driven strategy, and a commitment to delivering confidence through every stage of the dispute process.
End-to-end IDR case management. Strategic, reliable, tailored representation for every case removes the administrative burden.
Seamlessly manage disputes from initial IDRÂ notification to IDR submission. Our structured workflow ensures every case is tracked, documented, and resolved efficiently with minimal administrative overhead.
Navigate complex regulatory landscapes with expert advisory support. We provide clear, actionable strategies tailored to your specific case profile to maximize favorable outcomes.
Instantly verify claim eligibility before initiating the formal dispute process. Our robust screening tools analyze case parameters to prevent invalid filings and save valuable time and resources.
Monitor dispute resolution metrics and success rates in real-time. Our comprehensive dashboards provide deep insights into case performance, cycle times, and financial recovery.
In Q2 2025 alone, $1.05 billion was lost as a result of over 280,000 disputes determined without a response from the payer.
Average number of default determinations in Q2 of reporting year 2025
The annual opportunity to realize savings based on winning just 15% of disputes that would otherwise go without a response.
Essential information about the IDR process
IDR is available to both providers and payors involved in qualifying disputes. Eligibility depends on claim type and current regulations.
Submit claim details, supporting documents, and prior communications. Requirements may differ by case and will be discussed with you by your team.
Most cases are resolved in 30-45 days, but timing can vary based on complexity and response speed.
You can withdraw your IDR request before a final decision. Notify all parties and the assigned reviewer.
Most cases require a filing fee, which may be shared or assigned based on the outcome.
The process ends with a binding decision on payment or dispute terms. Both parties must follow the outcome.
Have more questions? Contact our team.
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