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Plain-language field guides to the 2026 IDR rules, not brochures. Each is dated and refreshed as CMS guidance changes.

Field guide · as of 2026-06-11

The 2026 IDR Operations Final Rule Readiness Kit

A plain-language field guide to CMS-9897-F: what changes for a provider arbitration team and when.

  • The $15-per-party administrative fee and the change from prior fee levels
  • The 50 qualified IDR items/services batching limit and what still qualifies
  • The 5 business day eligibility review and payer registration
  • IDR Gateway phasing, CARC/RARC on remittances, and the 90-to-30 day cooling-off change
  • A one-page 'what changes for your team and when' timeline

We use your information only to send the guide and relevant IDR readiness updates. No spam; unsubscribe anytime.

Quick download · as of 2026-08-03

The Pre-Filing Eligibility and Deadline Checklist

A printable checklist covering the top ineligibility triggers and the open-negotiation and initiation windows.

  • State law / all-payer model carve-outs
  • Incomplete or missing open negotiation
  • Cooling-off and initiation-window errors
  • Batching errors under the 50-item and same-payer/same-code rules
  • The 30 business day open-negotiation and 4 business day initiation windows

We use your information only to send the guide and relevant IDR readiness updates. No spam; unsubscribe anytime.

Field guide · as of 2026-08-03

The Permitted-Factor Evidence Guide (45 CFR 149.510)

What a certified IDR entity may and may not consider, with a permitted-factor evidence template and an explicit list of prohibited factors.

  • The additional information the statute permits reviewers to weigh
  • Prohibited factors: billed charges, usual-and-customary rates, and public-payer (Medicare/Medicaid) rates
  • A permitted-factor evidence template mapped to the regulation
  • How to keep the QPA out of your evidence assembly (you do not calculate it)

We use your information only to send the guide and relevant IDR readiness updates. No spam; unsubscribe anytime.

Boundary

What these guides are, and are not

They are operational readiness references. They are not legal advice, and they do not tell you whether a specific dispute is eligible or what to offer, those are your team's decisions.