Recover the underpaid claims already sitting in your out-of-network data, through a federal process that finally gives independent providers a stronger voice against payer short pays.
Every independent practice with out-of-network claims is sitting on underpaid revenue they don't know is recoverable. The No Surprises Act created a federal arbitration process, Independent Dispute Resolution (IDR), specifically to correct these underpayments. When an insurer pays below a fair rate on an eligible claim, IDR gives providers a structured path to dispute it, and the process currently works in the provider's favor. Each side submits one number, an independent arbitrator reviews both sides of the claim, and the better-supported number wins. There is no splitting the difference.
Most independent practices have never filed an IDR dispute. A small number of PE-backed billing firms account for roughly 44% of all IDR filings nationally, while independent practices leave the same recoverable revenue on the table year after year. A May 2026 federal rule cut the IDR filing fee by more than 85%, from $115 to $15 per party per dispute, making smaller-dollar claims worth pursuing for the first time. At Insight Medical Consulting, we built our IDR Recovery service to close that gap and give independent practices the same access to this revenue that large, well-resourced groups already have.
We handle the entire dispute process, from evidence-based offer development through submission, negotiation, and arbitration, so your team never has to manage a deadline or a filing.
We have the expertise to review your out-of-network claims data to identify exactly which underpayments qualify for IDR before a single dispute is filed, so no time or filing fee is spent on ineligible claims.
IDR eligibility and success are rarely obvious from a claims report alone. Underpayments hide inside claims that already show as paid, and eligibility rules vary by specialty, payer, and claim type. Our team conducts a full review of your out-of-network claims to find what's recoverable, then manages the dispute process end to end so your practice sees the revenue without absorbing the administrative burden.
We screen your out-of-network claims against current IDR eligibility rules, including specialty-specific qualifications for anesthesia, emergency medicine, radiology, pathology, neonatology, hospitalists, intensivists, and assistant surgeons. Roughly one in five disputes filed nationally is ineligible, and a lost dispute still costs the filing and IDRE fees. We screen first so every dispute we file has a real chance of winning.
IDR outcomes depend on the strength of the number each side submits. We benchmark your claims and build an evidence-based offer designed to win under arbitration standards. Nationally, providers prevail in roughly 88% of disputes, about 87% of awards land above the insurer's own benchmark rate (the QPA), and winning awards are often three to four times the comparable in-network rate.
We manage every deadline in the process, from the 30-business-day open negotiation window through formal dispute filing and arbitration submission. Filing windows are unforgiving, and batch caps and eligibility requirements have tightened since the May 2026 rule took effect. We keep your disputes compliant and moving so nothing is lost to a missed deadline.
Large health systems have revenue integrity departments built specifically to catch underpayments like these. Independent practices have one overextended biller and no alert system, which means this revenue disappears quietly, without ever showing up as a denial. It's paid, on paper, just not paid correctly. Recovering it means your practice keeps more of what it already earned, without adding clinical volume or administrative headcount.
We manage IDR recovery end to end so your team never has to become dispute-resolution experts. When you partner with the Insight team, your engagement includes:
Figures above reflect industry-reported aggregates from CMS data analyses. Actual outcomes vary by specialty, payer, geography, and claim, and are not a guarantee of results.
You already provided the care. You should be paid fairly for it. Insight Medical Consulting gives independent practices the same access to IDR recovery that large, PE-backed groups have used to collect underpaid revenue for years. There's no reason that advantage should belong only to the biggest players in the market.
Let us look at your out-of-network claims data and show you what's sitting there before you spend a dollar chasing it. Contact us today to book your IDR Readiness Assessment.
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