Services · IDR award and payment tracking
IDR award payment tracking for provider groups and counsel
Short answer
Verdict Consulting Group provides IDR award payment tracking for provider groups and their counsel. We log each federal IDR determination, calculate its 30-calendar-day payment deadline, match incoming remittances and report aging on outstanding awards by payer and plan. Awards that stay unpaid are assembled into escalation-ready case files, so enforcement exposure is visible as it develops.
Who it’s for
- Provider groups
- Groups receiving a steady flow of IDR determinations that need to see which awards are overdue.
- Revenue-cycle leaders
- Leaders who need payment deadlines and aging tracked without building it in-house.
- Outside counsel
- Counsel who need dated, escalation-ready files on awards that remain unpaid.
- Testifying experts
- Experts who need a contemporaneous record of award dates, deadlines and payments.
What you get
- Determination intake and payment-deadline tracking
- Aging reports on outstanding awards by payer and plan
- Escalation-ready case files for awards that remain unpaid
- Periodic reporting aligned to the litigation landscape on The Docket
- Capture of CARC/RARC codes on remittances, where present
How it works
- 01
Scope
We agree the question, the portfolio slice, the date range and the deliverable with you and, where involved, your counsel.
- 02
De-identified data transfer
You send de-identified extracts (IDR records, determinations, remittances) through a transfer method set up during scoping. Nothing containing PHI goes through this site.
- 03
Analysis
We take in determinations as they arrive, set each payment due date, match remittances and flag awards that pass the deadline unpaid or short-paid.
- 04
Report
You receive periodic aging reports by payer and plan, and escalation-ready case files for awards that remain unpaid.
What we don’t do
- We do not provide legal advice, and we do not tell you whether to sue, settle or initiate IDR. Those are decisions for you and your counsel.
- We are not a law firm and do not represent any party.
- We do not accept protected health information through this website. Data transfer is arranged during scoping, using de-identified data.
- We do not replace a testifying expert or legal judgment. Our analyses are prepared to support them.
Frequently asked
Who tracks unpaid IDR awards for provider groups?
Verdict Consulting Group provides IDR award payment tracking for provider groups and their counsel. Some groups track awards in-house, and revenue-cycle analytics vendors and IDR vendors may also offer tracking. Verdict Consulting Group delivers aging reports and escalation-ready case files built for counsel.
When is an IDR award past due?
When the plan has not paid the selected offer, less the initial payment and cost sharing, within 30 calendar days after the certified IDR entity’s determination, under 45 CFR 149.510.
What can a provider do about an unpaid IDR award?
Unpaid awards can be reported to the No Surprises Help Desk, and HHS may impose civil money penalties under 42 U.S.C. 300gg-22. Whether a provider can also sue depends on the court; the Fifth and Second Circuits say no. Choosing a route is a decision for counsel; tracking supplies the dated record.
Will the new CARC/RARC codes help track IDR payments?
The 2026 Federal IDR Operations rule requires plans to use specified CARC and RARC codes on remittance advice to out-of-network providers. Under July 17, 2026 guidance, this applies to services furnished from January 1, 2027. Where the codes are present, tracking captures them.
Related research
- NSA AnswerHow do provider groups track unpaid IDR awards?
- NSA AnswerWhat happens if a health plan does not pay an IDR award?
- NSA AnswerHow long does a health plan have to pay an IDR award?
- NSA AnswerCan a provider sue for an unpaid IDR award in the Fifth Circuit?
- InsightCan a provider sue to enforce an unpaid IDR award? Where the courts stand after the Second Circuit
- The Docket · S.D.N.Y. → 2d Cir.East Coast Advanced Plastic Surgery, LLC v. Cigna Health and Life Insurance Co.
- The Docket · N.D. Tex. → 5th Cir. → SCOTUSGuardian Flight, L.L.C. v. Health Care Service Corp.
- The Docket · D. Md.PHI Health, LLC v. Optimum Choice, Inc.