Independent Dispute Resolution (IDR) and Arbitration

Independent Dispute Resolution (IDR), a form of arbitration, is a process used in health insurance to settle payment disputes between providers and insurance plans when they cannot agree on payment for commercial insurance out-of-network services, particularly in surprise billing situations. It involves a neutral third party (an IDR entity) who reviews the case and makes a binding decision on the payment amount.

Pricing Structure:
No Setup Fee
No Monthly Fee

Service Fee:
No Service Fee by PatientList IDR service
3rd party fees (Admin Fee/Independent Review Fee)

Collection Fee:
18% Applies to successful collection only
98% Success rate

* IDR service is only offered to select accounts. Selection is based on type of practice, place of service (e.g. Emergency Department/In-Patient, Elective etc.), type of procedures offered, mix of patient insurance, Surgeon/Provider experience, and other factors. Please contact us for further information.