Contingency-based IDR recovery. We cover all IDR and arbitration fees — get a free audit.
Straight answers about recovering underpaid out-of-network claims through IDR: eligibility, fees, timelines, and how we work alongside your team.
Request a Free Legacy AuditYes. LibeCore helps healthcare providers identify potentially eligible underpaid out-of-network claims and pursue additional reimbursement through the appropriate Independent Dispute Resolution (IDR) process. We review claims for eligibility before determining the appropriate recovery path.
Eligibility depends on several factors, including the type of service, the network status of the provider and facility, the patient's health plan, applicable state law, and filing deadlines.
Federal IDR may apply to certain out-of-network emergency services, certain non-emergency services furnished by nonparticipating providers at participating healthcare facilities, and qualifying air ambulance services, when a specified state law or All-Payer Model Agreement does not apply.
LibeCore screens claims to determine potential eligibility before moving forward.
LibeCore's standard model is performance-based. We earn our fee from the additional reimbursement we successfully recover.
There is no setup fee or monthly minimum, we cover all IDR and arbitration fees, and claims that don't qualify are screened out before filing.
Your signed LibeCore service agreement will always control the specific terms applicable to your organization.
No. LibeCore covers all IDR and arbitration fees for the claims we take on: the federal administrative fee and the certified IDR entity (arbitrator) fee. You have no out-of-pocket IDR costs.
For reference, the federal administrative fee is $15 per party, per dispute for disputes initiated on or after June 11, 2026, down from $115.
Source: CMS — No Surprises Act notices
LibeCore provides end-to-end support for eligible claims, including claim screening, open negotiation, IDR filing and administration, payment-offer preparation, deadline management, determination tracking, and payment follow-up.
The goal is simple: let your billing and revenue cycle teams keep doing their jobs while LibeCore manages the specialized IDR workflow.
The federal IDR process involves eligibility analysis, strict business-day deadlines, open negotiation, IDR initiation, payment offers, documentation, and post-determination follow-up.
For example, the federal process requires a 30-business-day open negotiation period before an eligible unresolved dispute can proceed to IDR, and IDR then has to be initiated within 4 business days after that period ends.
LibeCore lets your existing billing or RCM team continue its normal workflow while our team focuses specifically on IDR recovery.
There is no single recovery amount that applies to every claim. Potential recovery depends on the individual claim, payer, service, geography, payment information, and other relevant factors.
That's why LibeCore reviews the underlying claims rather than promising a predetermined recovery amount.
Yes. A claim review can help identify which claims may qualify for IDR and whether there is a meaningful recovery opportunity before you move forward.
Request a free Legacy Audit to get started.
Potentially, yes. A provider can evaluate LibeCore on new claims or an agreed-upon group of claims while maintaining its existing relationships.
This gives your organization a chance to evaluate claim screening, communication, reporting, recovery performance, and overall service before making a broader change.
The first step is getting LibeCore the necessary claim and remittance information so we can begin screening for potential eligibility.
Because IDR is deadline-driven, providers shouldn't wait when potentially eligible claims have recently received an initial payment.
Depending on the circumstances of the claims, potential candidates include facilities and provider groups that perform qualifying out-of-network services, such as emergency medicine, anesthesiology, radiology, pathology, air ambulance, and hospital-based physician groups.
Federal IDR specifically addresses certain emergency services, certain non-emergency services provided by nonparticipating providers at participating healthcare facilities, and qualifying air ambulance services. Eligibility should always be evaluated at the claim level.
We typically need enough information to evaluate each claim: the payment, dates and location of service, payer and plan information, provider information, procedure information, and relevant remittance details.
Your team doesn't need to determine IDR eligibility before sending claims to us. LibeCore handles the eligibility screening.
Our goal is the opposite.
LibeCore is designed to work alongside your existing billing or revenue cycle operation. Your team continues its normal billing activities while LibeCore focuses on potentially eligible claims that need specialized IDR management and recovery.
Yes. LibeCore handles both federal IDR and state surprise-billing arbitration, and we evaluate the correct dispute route for each claim.
That distinction matters: the federal IDR process applies only when a dispute meets federal requirements and a specified state law or All-Payer Model Agreement doesn't control the payment determination. Filing in the wrong forum can get a dispute dismissed.
No. Federal IDR is a dispute over the out-of-network payment rate between the provider or facility and the health plan or issuer.
LibeCore's recovery work focuses on that provider-payer reimbursement dispute, not patient collections.
Let LibeCore take a look. We'll review your claims to identify potential IDR eligibility and uncover reimbursement you may otherwise leave behind.