ID Federal IDRE Platform

45 CFR Part 149 · No Surprises Act IDR

Independent dispute resolution,
run like infrastructure.

A multi-tenant case management platform for Federal IDR and state dispute-resolution programs — intake through determination to payment, with sealed offers, statutory clocks, and a complete audit trail. Every state is an isolated tenant; every program's rules are configurable.

Start an application Sign in to the portal
50
state tenants, fully isolated
30 days
statutory determination clock, tracked per case
Double-blind
sealed offers, revealed only when the window closes

How a dispute moves through the platform

  1. Intake & eligibility. Disputes arrive via portal, bulk CSV import (up to 5,000 claims per batch), or API. Eligibility is checked against the program's configurable rules; case numbers follow the program's numbering pattern.
  2. Assignment. Cases route to case managers manually, by workload-balanced auto-assignment, or self-service grab-next — with atomic queue claims so no case is ever double-assigned or lost.
  3. Offers under seal. Parties submit offers encrypted by the vault; the database never sees plaintext. Offers reveal simultaneously when the submission window closes.
  4. Determination. Arbitrators work from configurable stage checklists; statutory clocks are computed per program (calendar or business days) and breaches escalate automatically.
  5. Payment & reporting. Invoicing, card collection via Stripe, double-entry ledger postings, refunds, receivables aging, and program deliverables (weekly/monthly reports) are built in.

Who uses the platform

IDRE entities

Certified dispute-resolution entities manage caseloads, arbitrators, determinations, and CMS deliverables.

Providers & facilities

Initiate disputes, upload evidence, submit sealed offers, and track determinations and payments.

Plans & payers

Respond to disputes, submit offers, settle invoices, and monitor exposure across service lines.

State programs & auditors

Run a state program (like Florida's AHCA CDR) with your own clocks, thresholds, fees, templates and deliverables — with read-only auditor access for oversight.

State programs

Select your state when you apply. Programs without a custom rule set operate under the federal NSA default; states with their own programs (FL, TX, NY…) run on their own configured rules within their isolated tenant.

Ready to participate?

Submit an onboarding application — the state's review team is notified immediately and the approval workflow provisions your account.

Apply now