C-IDR | Independent Dispute Resolution (IDR)

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.

400,000+

Eligibility determinations completed

1 DLI/second

Real-time eligibility processing

AI-supported Arbitration

End-to-end IDR workflow

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

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.
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.
Automated Communication at Scale

More than 30,000 monthly emails are managed automatically with full audit logs, ensuring all timeline-driven notifications are sent accurately and on time.
Traceability & Accountability

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