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No Surprises Act · Independent Dispute Resolution
Recover the out-of-network payments you're owed.
Sydra is the AI-powered No Surprises Act IDR platform built for providers. Our AI handles dispute submissions — eligibility, evidence, offers, and deadlines — so your team wins more determinations with far less manual work.
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HIPAA-conscious · Built for providers, contingency firms, and revenue cycle (RCM) companies
Sydra in 30 seconds — how out-of-network claims get recovered under the No Surprises Act.
Why SydraFlat fee · full transparency · you keep more →Why Sydra
Built to beat the old way of recovering out-of-network claims
Most out-of-network recovery runs through firms that take a cut of everything and show you almost nothing. Sydra is a different model — and it's why practices switch.
You keep more
A flat, predictable fee — not a 20–30% cut of every recovery. Contingency firms win, then take a slice; with Sydra you keep it.
No black box
Win and default rates by payer and CPT, drawn from millions of real CMS determinations. You see exactly why each case is pursued — not a vendor mystery.
Run it your way
Full-service, self-service software, or we train your team. You are never locked into handing everything to one firm.
Physician-built, AI-run
Created by a practicing neurosurgeon from a working IDR operation — and automated end to end, so it scales without adding staff.
How Sydra works
Four steps from an out-of-network claim to a recovered payment.
Check eligibility
Sydra screens each out-of-network claim against No Surprises Act IDR rules — plan type, QPA, timelines — so you only pursue what qualifies.
Build the case
We automatically assemble the supporting evidence and your offer into a compliant IDR submission, ready for review.
Submit & track
File to the IDR portal and let Sydra track every deadline, batch, and status so nothing slips.
Get paid
See determinations, recovered dollars, and win rates by payer in one dashboard.
Why providers choose Sydra
Automated submissions
Turn a manual, deadline-driven process into a repeatable workflow — less staff time per dispute.
Never miss a window
Every negotiation and IDR deadline is tracked and surfaced before it lapses.
Stronger cases
Consistent, well-documented evidence packaging built around what actually moves determinations.
Analytics that matter
Win rates, recoveries, and default rates — by payer, specialty, and location.
HIPAA-conscious
Protected health information is handled under a Business Associate Agreement.
Built for scale
From a single practice to a multi-site group filing at volume.
Where Sydra wins
Most out-of-network recovery still runs through contingency firms that take a cut of everything. Sydra is a different model — you keep more, and you stay in control.
You keep more of every dollar
The old way: Contingency firms take a large cut of everything they recover — often 20–30%.
With Sydra: A flat, predictable fee — less than half of what most contingency firms charge — or license the software and run it yourself.
You choose how it runs
The old way: One option: hand it over and let someone else take a percentage.
With Sydra: Full-service (we file for you), self-service (your team files with Sydra), or we train your staff. Switch models any time.
Decisions backed by real data
The old way: A black box — you rarely see why a case was pursued, batched, or dropped.
With Sydra: Win rates and default rates by payer, specialty, and location — drawn from millions of real CMS IDR determinations.
Fits the tools you already use
The old way: Manual portals, spreadsheets, and re-keying between systems.
With Sydra: Clearinghouse-connected — Stedi and Waystar today, Availity coming — so claims flow in and submissions flow out.
Who Uses It
Providers & provider groups
Practices and groups carrying out-of-network claims that deserve fair reimbursement.
Contingency Firms
Pursuing out-of-network disputes on contingency — scale your caseload with automation and better win rates.
Revenue cycle (RCM) companies
Add No Surprises Act IDR to your revenue-recovery services without adding headcount.
High-OON specialties
Emergency, anesthesia, neuromonitoring, radiology, and other frequent-dispute specialties.
Who qualifies
Specialties that qualify under the No Surprises Act
The No Surprises Act protects out-of-network claims in the specialties most often balance-billed — where a patient can't choose an in-network provider, or a hospital-based physician is out of network at an in-network facility. Sydra recovers IDR disputes across:
The rules are changing in your favor
Built for the 2026–2027 No Surprises Act changes
The June 2026 Federal IDR Operations Final Rule reshapes how out-of-network disputes get filed — cheaper fees, bigger batches, and standardized payer codes. Sydra is already built around them.
Lower filing fee = more claims worth pursuing
The IDR administrative fee dropped from $115 to $15 per party (disputes initiated on or after June 11, 2026). Smaller-dollar claims that never penciled out before now do. Sydra is built to file at that volume without adding staff.
New batching rules, handled automatically
From November 1, 2026 you can batch up to 50 related services in one dispute under the permitted relationships (same encounter, same/comparable service code, or the anesthesia/radiology/pathology/lab code ranges). Sydra groups your eligible claims into compliant batches for you.
Standardized payer codes, read for you
For items and services on or after January 1, 2027, payers must attach standardized CARC/RARC codes, their legal business name, and IDR registration number to every initial payment or denial. Sydra reads these to flag eligible disputes and start the negotiation clock — no manual triage.
Ready for the federal IDR Gateway
CMS is rolling out the new federal IDR Gateway and payer registry in phases through late 2026 into 2027. Sydra tracks the changing workflow so your submissions stay compliant as the portal evolves.
Effective dates per the CMS Federal Independent Dispute Resolution Operations Final Rule (published June 2026). Sydra tracks rule changes so you don't have to.
In the news
Press and announcements will appear here.
Ready to recover more?
See how Sydra fits your revenue-recovery workflow. We'll walk you through eligibility, submissions, and the analytics — with your own claims in mind.