Book a demoBring one denied claim. We'll tell you what federal IDR would do with it.
A payer's out of network payment is an opening offer, not the amount owed. Fifteen minutes is enough to find out whether one of your claims is worth contesting, who should file it, and what that costs.
What happens on the call
This isn't a slide deck. On a live call, a Sydra specialist enters a real denied claim from your specialty and Sydra builds the complete IDR submission packet in real time while you watch, start to finish.
- We enter your denied claim live and run the eligibility check while you watch.
- Sydra drafts the complete IDR submission packet in real time, in front of you: executive summary, market rate justification from prior determinations, clinical narrative from the operative note, provider credentials.
- We read through each section together: what Sydra wrote, where every element came from, what a billing team would verify or edit.
- DOCX export. You see the finished submission ready packet and the guided IDRE portal checklist, generated start to finish on the call.
Under 5 minutes on your claim, 10 minutes on the walkthrough — 15 minutes total. You watch the packet get built before any pricing comes up. You leave with the actual Sydra output, a pricing quote, and a sandbox account if you want one. No pressure to sign anything on the call.
Before you book
What does the call cost and what am I committing to?
Nothing and nothing. The call is free, there is no contract, no setup fee, and nothing installs in your EMR. We walk one real claim from your specialty and tell you whether IDR fits your practice. If it does not, we say so on the call.
Do I have to buy anything to get the call?
No. Free with no commitment.
Do I have to run software after this?
No. Two arrangements come out of the call. Your team can run Sydra and file in house, or we can identify the qualifying claims, assemble the submissions, and hold every deadline for you. We recommend one based on what your team has bandwidth for, and neither changes how you practice or bill.
Who should be on the call?
Whoever decides. If your billing lead would run the filings, they get the most out of it. If you would rather hand the work over entirely, you alone is enough. We can accommodate up to three attendees.
Can I see Sydra on a claim type my practice actually files?
Yes. Send us an EOB before the call and we run it on your actual CPT code in your state.
What if I just want pricing without a call?
Email sales@sydrahealth.com with your specialty and estimated monthly OON volume. We'll send a pricing range. Pricing is per claim or subscription, never a percentage of your recovery.
How long does setup take after we decide to proceed?
Most practices are operational within one week of signing the BAA. See the full onboarding timeline at /faq.
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Bring one denied or underpaid out of network EOB. We will run it live. If it qualifies, you will see the dollar figure on that claim before the call ends. If it does not, I will tell you straight and you have lost fifteen minutes.
Sourced references
- 1. CMS Federal IDR Q1/Q2 2025 Public Use FileReleased January 21, 2026cms.gov/nosurprises/policies-and-resources/reports
- 2. CMS Federal IDR Q4 2025 Public Use FileQuarter 4, 2025. Source for the per CPT area average initial payment and median figures in the Practice A table on the homepage. Geography and median denominator are pending confirmation from ops; see the TODO above PRACTICE_A in src/lib/content/homepage.ts.cms.gov/nosurprises/policies-and-resources/reports
- 3. Sydra client records, presented with client permissionProvenance for the Sydra performance figures in SYDRA_PERFORMANCE (src/lib/idr/proof-points.ts): 92% across 113 decided cases, 82.9% across 76 decided cases under the client's prior contingency firm, and the CPT 19318 award of $50,742.00 against a $2,500 QPA. Decided cases only; excludes withdrawn, ineligible, and pending disputes. Not federal data and not a category benchmark.
- 4. Georgetown University CHIR · Health Affairs webinarMarch 2026. 3.4 million disputes through June 2025; 88% win rate; median award ~4.5x in network rate
- 5. Zelis: NSA IDR Eligibility ChallengesMarch 2026. 44% of 2024 IDR cases challenged as ineligible by non initiating party
- 6. ACEP analysis of CMS data~10% of eligible claims estimated to reach IDR arbitration
- 7. Brookings Institution NSA Arbitration DatabookApril 2026brookings.edu/articles/no-surprises-act-arbitration-databook
- 8. ACR: Providers Prevail in Vast Majority of IDR ClaimsJanuary 2026. 88% of disputes found in provider's favor; 87% of awards exceeded QPA
- 9. No Surprises Act: Public Law 116-260, Division BB, Title I
- 10. Federal IDR regulations: 45 CFR Part 149ecfr.gov/current/title-45/subtitle-A/subchapter-F/part-149
- 11. CMS No Surprises Act overviewcms.gov/nosurprises
- 12. HHS HIPAA for professionalshhs.gov/hipaa/for-professionals
- 13. CMS Final Rule: No Surprises Act IDR overhaul (HHS, DOL, Treasury, OPM)Administrative fee reduced from $115 to $15. Batching of multiple claims now permitted to lower costs and speed resolution. New IDR Gateway centralized platform rolling out in phases.cms.gov/newsroom/press-releases/federal-rule-takes-aim-saving-taxpayer-dollars-health-care-bureaucracy-reducing-dispute-fees