In house IDR, without the headcount.Scale federal disputes with the team you already have.
Your billing team can already file federal IDR. The constraint is time. Building one submission by hand takes 25 to 40 minutes, and that is the ceiling on how many disputes you can pursue. Sydra changes the ceiling, not the team.
Your team's time
What building submissions by hand costs you.
Drag the sliders to match your practice. This is labor time, framed as the capacity you get back, not a Sydra performance claim.
Manual build time of 25 to 40 minutes per submission is the Sydra documented range. Sydra prepares a standard single CPT claim in about five minutes. Your hourly rate and volume are your own inputs.
Annual cost of building submissions by hand
$4,200
By hand, per month
10 hrs
Capacity reclaimed per month
8 hrs
The same team files more.
The real cost is time, not fees.
Filing IDR yourself avoids the contingency fee, but it spends something else: your billing team's hours. Six elements, prior determination research, clinical narrative, credential blocks, eligibility checks. Done well by hand, it runs 25 to 40 minutes per submission.
At any meaningful volume, that time becomes the reason claims go unfiled. The slider below puts a number on it for your practice.
Capacity, not replacement.
Sydra is not about doing the same work with fewer people. It is about your existing team filing far more disputes in the same hours. A standard single CPT claim that took 25 to 40 minutes is prepared in about five minutes, reviewed, and submitted by the same biller who would have done it by hand.
The hours that come back go to the disputes you are not filing today. That is where the recovery has been sitting.
Your team stays in control.
Nothing files itself. Sydra prepares the submission, your billing team reviews every decision, and your team submits through the IDRE portal with a guided checklist. The workflow, the relationships, and the margin stay in your office.
See Sydra prepare a real submission from your specialty in about five minutes, reviewed and ready for your team to file.
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See the full workflow: how Sydra prepares a submission.
Questions about running it in house
Does Sydra replace my billing staff?
How long does a submission take with Sydra?
Do we still control what gets filed?
Sourced references
- 1. CMS Federal IDR Q1/Q2 2025 Public Use FileReleased January 21, 2026cms.gov/nosurprises/policies-and-resources/reports
- 2. Georgetown University CHIR · Health Affairs webinarMarch 2026 — 3.4 million disputes through June 2025; 88% win rate; median award ~4.5x in network rate
- 3. Zelis — NSA IDR Eligibility ChallengesMarch 2026 — 44% of 2024 IDR cases challenged as ineligible by non initiating party
- 4. ACEP analysis of CMS data~10% of eligible claims estimated to reach IDR arbitration
- 5. Brookings Institution NSA Arbitration DatabookApril 2026brookings.edu/articles/no-surprises-act-arbitration-databook
- 6. ACR — Providers Prevail in Vast Majority of IDR ClaimsJanuary 2026 — 88% of disputes found in provider's favor; 87% of awards exceeded QPA
- 7. No Surprises Act: Public Law 116-260, Division BB, Title I
- 8. Federal IDR regulations: 45 CFR Part 149ecfr.gov/current/title-45/subtitle-A/subchapter-F/part-149
- 9. CMS No Surprises Act overviewcms.gov/nosurprises
- 10. HHS HIPAA for professionalshhs.gov/hipaa/for-professionals
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