IDR for Radiology

No Surprises Act IDR filing for radiology groups

Radiology is the second-largest category of IDR disputes, roughly 15% of the total. Reads for out-of-network patients at in-network hospitals are eligible, and volume across facilities makes batching efficient.

Why radiology groups file

Hospital-based radiology groups read for every patient who comes through the facility, in-network or not. When the group is out of network with a payer, each professional read is a potential IDR claim — and the volume is large enough that even modest per-claim uplift adds up.

What to know

Emergency and non-emergency reads follow different eligibility paths; both can qualify
Interventional and high-complexity modalities carry stronger arguments above QPA
Batching rules limit which claims can be grouped; we structure batches to comply and to minimize fees

Our approach

Automated remit screening across facilities, compliant batching, offers priced from radiology-specific award data, and full award-to-cash tracking. Radiology and teleradiology groups both supported.

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

How the IDR process works
IDR data & benchmarks
Full service scope

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