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How IDR Works

One clear process, managed for you.

The No Surprises Act gives providers the right to challenge unfair payments through Independent Dispute Resolution. Here's how the process works—and how LibeCore handles every step.

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What IDR is

Independent Dispute Resolution (IDR) is the federal process that settles payment disagreements between out-of-network providers and health plans for surprise bills. When a plan's payment is too low, either side can escalate to a certified, "baseball-style" arbitration: each submits an offer, and an independent arbitrator selects one. It runs on strict deadlines and rewards a well-built case.

The four steps

Every eligible claim, start to finish

Open negotiation

A 30-business-day negotiation window opens after the payer's initial payment or denial.

Initiate IDR

If unresolved, the dispute is filed within 4 business days through the CMS Federal IDR portal.

Build the case

We assemble the evidence and payment offer designed to win the arbitration.

Arbitration & recovery

A certified arbitrator selects the winning offer—and you collect the reimbursement you're owed.

Where LibeCore comes in

The process punishes missed deadlines—one late filing past the 4-business-day window forfeits your right to dispute that claim. We track every window, build the evidence, handle the portal submissions, and manage the arbitration end to end, so nothing you're owed slips away.

See our full IDR filing service →

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