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Federal No Surprises Act

Federal IDR arbitration support.

MCB Professionals supports the federal No Surprises Act independent dispute resolution process, from open negotiation through filing, batching and supporting evidence. Founder Yasmen Eissa brings 15+ years of revenue cycle experience.

Federal IDR timeline

Track each step in the process.

Open negotiation

30 business days

Open negotiation runs for 30 business days from the plan’s initial payment or denial.

Filing window

4 business days

If negotiation does not resolve the dispute, either side has 4 business days to file for IDR.

Batching

Group similar claims

Where the rules allow, MCB groups similar claims against the same plan into one batched dispute.

Public CMS results

Federal IDR examples across specialties

These examples are from public federal IDR decisions for the New York and New Jersey metro areas, for disputes closed July–December 2025. Each amount is the median award when the provider’s offer was chosen.

Orthopedics

Knee arthroscopy with meniscectomy (29881)

$20,000 median award across 273 decided claim lines.

Spine

Anterior cervical discectomy and fusion (22551)

$85,500 median award across 651 decided claim lines.

Podiatry · foot & ankle

Hammertoe correction (28285)

$25,955 median award across 167 decided claim lines.

Hand & wrist

Carpal tunnel release (64721)

$11,069 median award across 62 decided claim lines.

Sports medicine

Arthroscopic shoulder stabilization (29806)

$30,195 median award across 90 decided claim lines.

These are public CMS results across all providers. They are not MCB Professionals’ results and do not guarantee or predict the outcome of any claim. Awards depend on the plan, the service, the documentation and the arbitrator.

Source: Centers for Medicare & Medicaid Services, Federal IDR Public Use File, 2025 Q3–Q4. CMS reports. See the complete results table.

FAQ

Federal IDR questions

How long is the federal IDR open-negotiation period?

Open negotiation lasts 30 business days from the plan’s initial payment or denial.

How soon must a party file after open negotiation?

If there is no agreement, either side has 4 business days to file for federal IDR. The filing timeline is strict.

Can similar claims be batched?

Where the rules allow, similar claims against the same plan can be grouped into one batched dispute.

Are the public award examples MCB results or a prediction?

No. The examples are public CMS results across providers, not MCB Professionals’ results, and they do not guarantee or predict the outcome of any claim.

Next step

Talk with MCB about a federal IDR dispute.