Independent Dispute Resolution (IDRE)

Fair, consistent, and compliant determinations under the No Surprises Act

What We Do

C-IDR provides unbiased independent dispute resolution (IDR) under the No Surprises Act. Our role is to ensure every dispute is handled fairly, consistently, and in full compliance with CMS requirements.

We bring together experienced legal and medical professionals, strong regulatory discipline, and modern technological support to deliver determinations all parties can trust. At C-IDR, technology empowers experts, not the other way around, and every outcome reflects the highest standards in independent arbitration.

Our Commitment

We aim to reduce waste in healthcare and restore trust by making the IDR process faster, fairer, more consistent and more transparent than anything that has existed before.

Expert-Led, Regulation-Aligned Adjudication

All disputes are reviewed by experienced legal professionals with proven arbitration expertise. Their know-how ensures every decision is grounded, defensible, and aligned with statutory requirements. Strict protocols protect compliance, impartiality, and confidentiality throughout the process.

The Future of IDR Built Today

The Federal IDR process is complex and often slowed by manual steps that lead to delays and inconsistency. C-IDR platform replaces these friction points with fast, reliable, evidence-driven automation that augments NOT replace expert arbitrators.

Our platform is designed for high volumes, tight timelines, complex eligibility rules, and heavy documentation. By automating what slows the process down, we deliver faster, more consistent, defensible decisions, completing many key actions the same day, sometimes in the same hour.

Fully Automated Eligibility Determination

Manual eligibility checks are slow and error prone. Our deterministic engine evaluates every rule and exception instantly, completing a 200-line-item batch dispute in about five minutes.

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Two-Way, Real-Time CMS Status Updates

Every required CMS update from eligibility, arbitration status, determinations, and payments sent or received, is sent automatically, saving hundreds of hours and ensuring perfect compliance.

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Automated Evidence Handling & Summarization

Arbitration files can span hundreds of pages and overwhelm human reviewers. C-IDR's system analyzes and organizes the full record, extracting what's relevant and producing clear, defensible summaries so arbitrators can focus on decisions rather than paperwork.

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Automated Communication at Scale

More than 20,000 monthly emails are managed automatically with full audit logs, ensuring all timeline-driven notifications are sent accurately and on time.

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Traceability & Accountability

Every action, guideline, timeline, and communication is recorded in a complete, automated audit trail for full transparency and defensibility.

Our Impact

170,000+
Backlog Cases Cleared
320,000+
Eligibility Determinations Completed
1 DLI/Second
Real-Time Eligibility Processing
AI-Enabled
End-to-End IDR Workflow

Compliance You Can Trust

Our systems, processes and data driven environment are secure, audited, and built to meet or exceed federal and state requirements.

Accredited

SOC 2 Type II Attested

Member

Ready to Get Started?

Contact us to learn more about our IDRE services and how we can support your dispute resolution needs.