The Story Behind IDR Claims: Why We Built a Better Way to Run IDR
- Feb 17
- 4 min read
The Independent Dispute Resolution (IDR) process was established under the No Surprises Act of 2022 to bring structure and fairness to out-of-network reimbursement.
In theory, the process is standardized and regulated.
In practice, it has become operationally complex.
For providers, billing companies, revenue cycle teams, and law firms IDR often feels less like a structured workflow and more like a maze, not just of deadlines, but of changing deadlines, cooling off periods, evolving guidance, documentation requirements, and multiple federal and state portals.
One missed filing.
One miscalculated cooling off period.
One overlooked notice.
And revenue is lost.
IDR Claims was created to change that.
Seeing the Problem Firsthand
IDR Claims didn’t begin as a generic SaaS concept.
It began with direct exposure to the operational strain of managing IDR at scale.
Co-Founders Joshua J. Haller and Dr. Daniel J. Haller experienced the challenges of the No Surprises Act from two critical perspectives, administrative and clinical. As disputes increased and timelines shifted, they saw the same issues repeat across organizations:
Cooling off periods tracked manually
Deadlines recalculated by hand
Cases spread across spreadsheets, inboxes, and federal portals
Limited visibility into case status and outcomes
Final offers submitted without consistent data backing
Escalating administrative costs just to stay compliant
Even experienced teams were vulnerable — not because of lack of diligence, but because the system itself leaves little margin for error.
The conclusion became clear: IDR wasn’t failing because of people. It was failing because of the lack of purpose-built tools.
From Internal Tool to Purpose-Built Platform
Before IDR Claims became a company, the first version of the platform existed as an internal solution.
The initial goal was simple:
Make sure nothing slips through the cracks.
As case volume increased, so did the sophistication of the tool. What began as a structured tracking system evolved into a secure, scalable platform capable of navigating the legal, regulatory, and financial complexity of the federal IDR process.
By mid-2024, it became clear this solution could extend far beyond its original use case.
IDR Claims was formally launched as a standalone SaaS platform designed to support:
Providers managing disputes in-house
Billing companies handling IDR at scale
Law firms representing disputes
Revenue cycle teams seeking predictability
Whether IDR is handled internally, outsourced, or shared across teams, the platform is designed to adapt to how organizations actually work.
In 2024, Jason Radzik joined the company to help transform the platform into a commercially scalable SaaS solution embedded with advanced AI-driven capabilities. With decades of financial, entrepreneurial, and sales experience, he helped structure IDR Claims into a fixed-cost, transparent platform designed to scale nationally, combining the reliability of SaaS with intelligent automation and data-driven insights that continuously improve performance.
As Board Member and Strategic Advisor Jason Radzik explains:
"Our organization has always supported the government’s objective of creating a standardized process for out-of-network providers to secure equitable compensation. While the framework itself is logical, its complexity, including strict deadlines, cooling-off periods, and CMS requirements, creates real challenges for small providers trying to manage it efficiently. The IDR Claims platform was developed to ensure no claim fails arbitration due to administrative oversight.”
A Clear Philosophy: Automation That Supports People
From the beginning, IDR Claims was built on a core belief:
Automation should empower professionals - not replace them.
The platform removes repetitive, high-risk manual processes while preserving decision-making control with providers and their partners.
That philosophy shows up across the system:
Automated deadline and cooling off tracking
Centralized documentation and audit trails
Data-driven analytics to strengthen final offers
Structured workflows that reduce compliance risk
Fixed-cost pricing models that protect recovered revenue
The result is clarity, control, and confidence, without added headcount.
Built for Both Federal and State IDR
While federal IDR under the No Surprises Act was the starting point, IDR Claims was always designed with the future in mind.
As state-level IDR processes continue to expand, the platform is evolving to support both federal and state workflows in one place, so teams don’t have to juggle different systems as regulations change.
This long-term view reflects where IDR Claims is headed: becoming the preeminent SaaS platform for managing IDR across the country, with enhanced automation and intelligent workflows built in.
Continuing to Innovate with Advanced AI
IDR is not static. Regulations shift. Guidance evolves. Volumes increase.
That is why IDR Claims continues to invest heavily in innovation, leveraging advanced AI capabilities and intelligent algorithms to strengthen predictive workflows, automate data validation, enhance documentation review, and improve strategic positioning of final offers.
Artificial intelligence isn’t a buzzword for us. It is a practical tool applied to real regulatory complexity. As the IDR landscape grows more sophisticated, so will the platform.
Looking Ahead
As IDR continues to evolve, so will the complexity around compliance, data, and scale. IDR Claims exist to ensure organizations aren’t navigating that complexity alone, or manually.
The goal is simple:
Make IDR clear, controlled, and predictable, so teams can focus on outcomes, not process.
Want to see how IDR Claims brings clarity and control to the IDR process?
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