Federal IDR tools for out-of-network groups

Free calculators for the deadlines, batches and economics of No Surprises Act disputes, plus benchmarks built from the CMS public data. No sign-up. No patient information.

Check your IDR deadlines Is a claim worth disputing?

2,559,375Federal IDR disputes initiated in 2025 (CMS)

83.8%of payment determinations went to the provider side, 2025-Q4

334%median prevailing offer vs QPA, emergency department services, 2025-Q4

37%of out-of-network disputes were initiated by practices with 50 or fewer employees, 2025-Q4

Free tools

Deadline calculator

Open negotiation, the 4-business-day initiation window, payment and cooling-off dates, with federal holidays and a calendar file.

Is this claim worth disputing?

Expected net result per item using CMS medians and win rates, minus the administrative fee, entity fee and your own time.

Flat fee vs percentage vendor

Put your own vendor percentage and dispute volume against a flat software fee.

Batching checker

Check item count, payer and CPT grouping against the batching rules reported for 2026.

Benchmarks from CMS data

Quarterly medians and counts for 4 quarters of 2025, by specialty, QPA band and state.

See the benchmarks

Get early access to the IDR tracker

We are building a flat-fee tracker for eligibility, deadlines, batches and payment follow-up. Join the list and we will email you when it opens. No patient information needed.