HaloMD is the largest initiator of No Surprises Act IDR disputes in the country. If you're comparing IDR vendors — or reconsidering after the 2025–2026 litigation — here's a factual look at what to weigh and how IDR Filings is different.
HaloMD was formed in 2022 to file IDR disputes for providers and, according to federal data, now initiates more disputes than any other organization. In 2025, Elevance Health affiliates (Anthem plans) sued HaloMD and several affiliated provider groups in California, Texas, Georgia, and Ohio, alleging that large volumes of ineligible disputes were filed and that offers were inflated. Federal courts dismissed the California case (April 2026), the Texas case (May 2026), and the Georgia case (July 2026), holding among other things that the No Surprises Act sharply limits judicial review of IDR awards; Elevance has said it will appeal, and the Ohio case was pending as of this writing. HaloMD has denied wrongdoing.
Two takeaways for a provider choosing a vendor: the courts have not found HaloMD liable, and the litigation has made payers far more aggressive about challenging eligibility — which raises the value of a vendor that screens claims carefully before filing.
| Question | Why it matters |
|---|---|
| How do they screen eligibility? | 42% of H2 2025 disputes were challenged as ineligible. Ineligible filings waste fees and invite scrutiny. |
| How are offers priced? | Baseball-style: the arbiter picks one number. Data-backed offers win; inflated ones lose or attract lawsuits. |
| Fee structure | Contingency on the uplift vs. per-claim fees. Watch for minimums and pass-through of federal fees. |
| Reporting | Do you see filed / settled / won / collected by payer and code? Award-to-QPA ratios? |
| Award collection | Payers frequently pay late. Who chases the money and files CMS complaints? |
| State processes | Can they route bifurcated-state claims correctly (Texas TDI, New York DFS, etc.)? |
| Who owns your data and payer relationships | You should keep both if you leave. |
This page describes publicly reported events for comparison purposes and does not allege wrongdoing by any company. HaloMD is a trademark of its owner; IDR Filings is not affiliated with HaloMD.
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