Answers
Deeper answers on the qualifying payment amount, the payer-calculated number at the center of every No Surprises Act payment dispute.
QPA disclosure requirements
The disclosures that must arrive with every protected claim, the downcoding rule, and the methodology details you can demand before arbitration.
Read the answerThe QPA in IDR arbitration
How the presumption died in court, what certified IDR entities actually weigh, and why typical awards run about 4.7 times the QPA.
Read the answerIs the QPA a fair market rate?
The provider critique, the payer defense, and the 3.39 million dispute record that keeps landing 4.7 times above the anchor.
Read the answerFor questions beyond this site, such as which claims are eligible or how the arbitration itself unfolds, see the Lido IDR answers library. The full dispute record is explorable at idrexplorer.com.
Have a question about your own claims?
Bring your payer mix and rough out-of-network volume to a 30 minute call. We will sort what is eligible and show you what similar providers are winning. Talk to an IDR specialist.