Free eligibility review
Home / Specialties / Anesthesiology
IDR for Anesthesiology

No Surprises Act IDR filing for anesthesiology groups

Anesthesia is out of network by structure at many facilities and is one of the specialties most consistently paid at QPA. IDR is the mechanism designed to correct that.

The anesthesia problem

Patients pick a surgeon and a hospital, not an anesthesiologist. When the anesthesia group is out of network at an in-network facility, the No Surprises Act protects the patient and sends the payment fight to IDR. Payers know most groups won't file, and price initial payments accordingly.

What anesthesia disputes involve

  • Base-unit plus time-unit claims where the QPA is often calculated on thin contract data
  • Strong "training and experience" and "complexity" arguments that arbiters weight beyond the QPA
  • Batching across cases with the same payer, which anesthesia volume supports well

How we help

We identify every eligible case, run open negotiation and IDR on the statutory clocks, and price offers using anesthesia-specific determination data. Many groups see meaningful recovery on cases they had already written down.

What we need to start

90 days of out-of-network remits, your payer list, and a signed authorization. We return a claim-level eligibility report and projected recovery within a week.

Free eligibility review

Find out what your out-of-network claims are actually worth.

Send us a sample of recent OON remits. We'll tell you which claims are IDR-eligible, what similar disputes have paid, and what we'd file. No fee unless we win you more.

Request a free eligibility review