IDR Fees & Payment

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Dane Street’s IDR Fees Overview and Payment Options

There are two separate fees associated with the Federal IDR (Independent Dispute Resolution) process:


CMS Administrative Fee

Each party involved in a dispute must pay a non-refundable administrative fee to participate in the federal IDR process. This fee is $115 per party per dispute. Dane Street, as an IDR Entity, will collect this fee and remit it to CMS on behalf of each party.

Please note: CMS Administrative fees are due from both parties within the 10-day window, which begins when the case is assigned to the IDR Entity.


IDR Entity Fee

As each case is assigned to a certified IDR Entity, the IDR entity must first confirm that there are no conflicts of interest to accept the dispute. After accepting the dispute, the IDR Entity then determines if the dispute is eligible to be arbitrated within the Federal IDR Process. If the dispute is eligible, each party must pay the IDR Entity Fee to have the case proceed to arbitration. The IDR Entity Fees are held in an escrow-like manner while the case goes through the arbitration process. The payment of the IDR Entity fee must be completed within 10 business days, which begins the day the case is assigned to the IDR Entity.

As an IDR Entity, Dane Street’s Entity Fees are as follows:

  • Single Determination: $595
  • Batched Determination: $695 (for 2–25 line items in a batched dispute)
  • Tiered: $110 (for every additional 25 line items within a batched dispute beginning with the 26th line)

REMINDER: If a case is eligible for arbitration, each party must submit offers and related documents to CMS directly. CMS will reach out to each party to collect this information, as it is a separate process from fee collection.

For any further questions, please feel free to email us at idr@danestreet.com.


IDR Guide & Resources

How to File an IDR Dispute?

Filing an Independent Dispute Resolution (IDR) dispute under the No Surprises Act is a structured process designed to ensure fair and efficient payment determinations. The process begins through the Centers for Medicare & Medicaid Services website—simply search for “IDRE” within the CMS portal and follow the steps to access the Federal IDR system. Preparing your information in advance will help ensure a smooth and successful submission.

Before You File

Please have the following information ready:

  • Dates and Locations of Service: When and where the services were provided.
  • Type of Service: For example, emergency services or post-stabilization care.
  • Service and Place-of-Service Codes: Applicable billing and procedural codes.
  • Explanation of Benefits (EOB): A complete copy of the claim(s) in dispute.
  • Claim Number(s): All claims included in the dispute.
  • Attestation of Eligibility: Confirmation that the items or services qualify for the Federal IDR process.
  • Preferred IDR Entity: Your selected certified IDR entity for dispute review.

Submit Your Dispute

File your dispute through the Federal IDR portal. Be sure to:

  • Accurately enter all required fields.
  • Upload complete and relevant documentation.
  • Include all applicable items or services (including batched disputes, if eligible).

Select a Certified IDR Entity

Choose a certified IDR entity (IDRE) to review your case. If both parties cannot agree, one will be assigned randomly by CMS.

Participate in the IDR Process

  • Look for communications to submit final offers and pay associated fees.
  • Be ready as additional documentation may be requested.

If you have any questions or need support during the process, please contact idr@danestreet.com.

What is Batching?

Batching allows multiple related items or services to be combined into a single Independent Dispute Resolution (IDR) case under the No Surprises Act (NSA). This approach is designed to improve efficiency, reduce administrative burden, and lower costs by streamlining the review of similar claims.

  • Single Patient Encounters: Includes services for one patient across consecutive dates when billed on the same claim.
  • Comparable Billing Codes: Applies to items billed under the same or similar procedural codes.
  • Specialty-Specific Grouping: Supports batching within anesthesiology, radiology, pathology, and laboratory CPT categories.
  • 25-Line Item Cap: Limits each batched dispute to a maximum of 25 items to support timely determinations.
What is Bundling?

A bundled dispute is defined as a provider's submission of a single dispute encompassing multiple line items under one service code. This can be conceptualized as aggregating an entire hospital stay under a solitary service code.

Bundled Payments

Bundled payments are a single payment for the combined cost of eligible services and supplies – like treatments, tests, and procedures – provided during a defined episode of care. This payment can cover multiple providers involved in the episode of care.

  • Instead of paying for each individual service separately, a bundle makes a single payment for a defined episode of care, which can include services like hospitalization, post-acute care, and physician visits, all related to that specific condition or procedure.

Please refer to the No Surprises Act Independent Dispute Resolution Process Proposed Rule Fact Sheet for further details.

How to Make a Payment for IDR Fees?

For your convenience, Dane Street also has a secure dashboard that will show all disputes assigned to us, along with payment information for each dispute. Each time a case is assigned to Dane Street, you will receive an email notification from IDR_REQEST@IDR.DaneStreet.Com. Please accept emails from this address. To visit this dashboard, click here.

Submitting your IDR fees is simple and secure through Dane Street's payment process. We offer convenient payment options to ensure a smooth and efficient process. Please find our pre-filled W-9 and Ways to Pay printable documents available below.

Ways to Pay W-9 Form PDF
Pay Now!

Before You Begin Your Payment Process

Please have the following information ready to complete your payment:

  • Company Name
  • Email Used to Submit the Dispute (required for the online payment portal)
  • Contact Phone Number
  • Dispute Number(s) (include all if paying for multiple disputes)

If you have questions about payments, please contact our team at financeidr@danestreet.com.


All CMS certified IDR entities and associated pricing details are located here.

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