CMS Federal IDR benchmarks

Per (state, service code, certified IDR entity) aggregates built from the CMS Federal Independent Dispute Resolution Public Use File: dispute count, provider-vs-payer prevailing-party split, and provider/payer offer as a percent of QPA (median, 25th and 75th percentile).

Sold on identical terms to providers, payers, law firms and analysts. It reports what the public record shows and takes no position.

Coverage: quarters 2025-Q3,2025-Q4, 3007933 dispute line items ingested. Cells with fewer than 11 disputes are suppressed (count shown, no rate/percentile figures) so a number is never computed from a handful of cases.

Sample rows

StateService codeCertified IDR entityDisputes (n)Provider prevailedMedian provider offer, % of QPA
TX 99284 Federal Hearings and Appeals Services, Inc. 81210 79.3% 948%
FL 99284 Federal Hearings and Appeals Services, Inc. 7611 96.4% 239%
LA 99284 C2C Innovative Solutions, Inc. 4996 93.0% 401%

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Source and disclaimer

Centers for Medicare & Medicaid Services. (2025). Federal IDR Public Use File [Data file and data dictionary]. Retrieved from https://www.cms.gov/nosurprises/policies-and-resources/reports

Data in the Federal IDR PUF reflect data captured in the Federal IDR portal as of the date of the report; CMS does not guarantee the accuracy of all records and all fields. In particular, the QPA field was self-reported by the initiating party and was not necessarily verified by the health plan or issuer.