MedRes turns federal IDR requirements into a disciplined workflow for eligibility review, open negotiation, evidence, filing, determination, and payment follow-up.
Timing reference: CMS federal IDR overview. Verify current instructions and any Department-granted extensions for each matter.
We analyze your out-of-network EOBs and claims to determine eligibility for IDR dispute and potential recovery value.
Before formal IDR, we manage the required 30-business-day negotiation period with insurers to seek a payment resolution.
If negotiation fails, we initiate federal IDR during the four-business-day window and coordinate certified IDR entity selection.
We build compelling cases using clinical merit, provider qualifications, market rates, and complexity factors.
The IDR entity reviews both positions and selects one payment amount. Amounts due are generally payable within 30 calendar days after determination.