The No Surprises Act IDR Process: An Early Look at 2025 Data

As reported by the Centers for Medicare and Medicaid Services (CMS) in supplemental tables and public use files, the volume of cases submitted into the IDR process continues to exceed all expectations and grew rapidly in the first six months of 2025. During that period, parties submitted 1.2 million new disputes to the IDR portal—more than double the volume of the first two quarters of 2024 when nearly 590,000 disputes were filed. This amounts to a total of 3.4 million disputes from 2022 through June 2025. Consistent with prior trends, providers continued to initiate (and win) the vast majority of disputes.

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Source: https://www.healthaffairs.org/content/forefront/no-surprises-act-idr-process-early-look-2025-data

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