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Running IDR yourself. What it takes.

Some groups keep IDR in-house to avoid a vendor fee. It can work. Here is the job, and where an engine changes the math, including our engine-only tier if you keep your team.

Keep your team, add the engine
The job

Four things your team takes on.

  1. Start open negotiation30 business days
  2. Negotiate30 business days
  3. Initiate IDR4 business days
  4. Pick an IDR entity3 business days
  5. Submit offers10 business days
  6. Payment due30 calendar days
01

A clock for every claim

Six federal windows, in order. Miss one and the claim is gone.9

  1. 02

    Cash up front

    The admin fee for every dispute and the IDRE fee with every offer, paid as you go. The IDRE fee comes back only when you prevail.

  2. 03

    A brief that persuades

    The QPA critique, your credentials, case complexity, market share and prior contracted rates, with exhibits, for each dispute.

  3. 04

    A rulebook that moves

    The 2026 operations rule changed open negotiation, batching, IDRE selection and eligibility review. Your process has to change with it.

Side by side

Your desk, or the engine.

Running IDR in-house compared with Revise
TermIn-houseRevise
FeeNo vendor fee; staff time on every claim19% of cash collected, or $35 per claim and $150 per dispute on the engine tier
Admin and IDRE feesPaid from your operating cash as each dispute is filed2Fronted by Revise on full service
DeadlinesSpreadsheets and calendars; a missed window ends the claim9Every clock computed with federal holidays, alerts at T-5, T-2, T-1
IDRE selectionLittle data on how each entity decides7Outcome data by entity; win rates ranged from 19% to 99%
Rule changesYour team retools for the 2026 rule3Rules are data in the engine; updated as CMS publishes
CollectionsFollow-up when someone has timePayment clock, demand letters, complaints and counsel, on a schedule

Send us one month of remits.
We’ll show you what you left on the table.

Seven business days. No cost. A line-by-line report of eligible claims you didn’t file, QPAs that don’t add up, and awards you were never paid.

Start the free auditBook a demo

Sources

  1. 2CMS, No Surprises Act notices: the federal IDR administrative fee is $15 per party per dispute for disputes initiated on or after June 11, 2026 ($115 before). Source
  2. 3Federal Independent Dispute Resolution Operations, final rules, Federal Register doc. 2026-11140, June 4, 2026: batched disputes limited to 50 line items; most process changes apply to open negotiations that begin 90 days after the Departments announce the supporting functionality. Source
  3. 7Watts and Hoadley, "No Surprises Act arbitrators vary significantly in their decision making patterns," Georgetown CHIR, July 10, 2025: provider win rates ranged from 19% to 99% across IDR entities and years (2022 to mid-2024). Source
  4. 945 CFR 149.510, determination of out-of-network rates for items and services: open negotiation, IDR initiation, IDRE selection, offers, payment determination, payment and cooling-off period. Source