Answers
Plain answers on IDR arbitration under the No Surprises Act. Every page leads with the answer and sticks to the published federal record: 3.39 million disputes from the CMS public use files, 2023 through 2025.
The IDR arbitration timeline
Every deadline from the payer's payment to money in the bank: 30 business days to start negotiation, 4 to file, offers in 10, decision due in 30, payment 30 calendar days later. Median published decision: 37 days.
Read the answerIDR arbitration fees
Three layers of cost: a $15 federal administrative fee per party, a refundable arbitrator deposit the loser forfeits, and the filer's fee, which is where 15 to 25 percent contingency cuts and flat fees diverge.
Read the answerWho wins IDR arbitration?
Providers won 85.8 percent of 3.39 million published disputes, with a typical award around 4.7 times the qualifying payment amount. Why the structure of the process produces that number, and what actually loses.
Read the answerFor questions beyond the process itself, such as which claims are eligible or how the qualifying payment amount is built, see the Lido IDR answers library. The full dispute record is explorable at idrexplorer.com.
Have a question about your own claims?
Bring your payer mix and rough out-of-network volume to a 30 minute call. We will sort what is eligible and show you what similar providers are winning. Talk to an IDR specialist.