When a health plan underpays your out-of-network claims, the No Surprises Act gives you the right to fight back through federal IDR. LibeCore files those disputes for you—managing every deadline, submission, and offer.
Request a Free Legacy AuditIndependent 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, you can challenge it through a certified, "baseball-style" arbitration—each side submits an offer, and an independent arbitrator picks one. The catch: the process runs on strict deadlines and requires a well-built case. That's what a dedicated IDR filing service handles.
Every eligible claim moves through the same federal steps. LibeCore manages all of them on your behalf:
A 30-business-day negotiation window opens after the payer's initial payment or denial.
If unresolved, we file within 4 business days through the CMS Federal IDR portal—no missed deadlines.
We assemble the evidence and payment offer designed to win the arbitration.
A certified arbitrator selects the winning offer—and you collect the reimbursement you're owed.
The IDR process rewards precision and punishes missed deadlines—a single late filing past that 4-business-day window forfeits your right to dispute the claim. LibeCore removes that risk entirely: we track every window, build evidence-backed offers, handle the portal submissions, and manage the arbitration end to end, so your team stays focused on patients.
The No Surprises Act most affects specialties that regularly deliver out-of-network and emergency care—emergency medicine, anesthesiology, radiology, pathology, air ambulance, and hospital-based physicians. If that's you, IDR is often the difference between a lowball payment and fair reimbursement.
How long do I have to file an IDR dispute?
After the initial payment or denial you have a 30-business-day open negotiation period, then just 4 business days to initiate IDR. Miss it and you lose the right to dispute that claim.
Do I have to involve the patient?
No. The No Surprises Act takes patients out of the dispute. IDR is strictly between your practice and the health plan.
What does LibeCore handle?
Everything—deadlines, open negotiation, CMS portal submissions, building the evidence and offer, and managing the arbitration from start to finish.
See exactly what you're owed. We'll review your underpaid out-of-network claims and show you the recovery opportunity—no cost, no obligation.