IDR outcomes
Is this line worth filing?
Take one line from a remittance: the code, the rate the payer printed, what it paid. The page applies past outcomes for that code and place, and the fee list, and gives you a verdict with the arithmetic behind it. Nothing you type leaves your browser.
The latest four quarters of decisions. Nothing typed here is sent anywhere; the page does the arithmetic itself.
01The verdict
The verdict
Enter the payer's rate from the remittance, and what it paid, for a verdict.
The page applies past outcomes for this code, national, to your numbers: how often providers won, what the award was as a multiple of the payer's rate, and what the fees would cost. Nothing you type leaves your browser.
The full tables and charts are easiest to read on a larger screen. On a phone, start with the figures above, or ask for a free claims review and we will read your own remittances for you.
02The outcomes for this code, here
ER visit, moderate complexity 99284
What arbiters awarded
For this code, national, providers won 85% of 472,552 contested disputes; when they did, the median award was 3.7× the payer's rate. Payers' own offers were a median 1.01×.
Where the payer's rate sits
Enter the payer's rate from your remittance to place it. The median rate reported for this code, national, is $216 across 927,443 line items.
Rates as the filing party reported them; values under $1 excluded. A low rate is not wrong by itself, but it is the payer's own calculation.
What the payer paid first
For this code, national, the payer's median first payment was $170 (498,176 line items, 95,869 of them $0), and the median gap from first payment to award was $587.
Source: Centers for Medicare & Medicaid Services. Federal IDR Public Use File [Data file and data dictionary]. Retrieved from https://www.cms.gov/nosurprises/policies-and-resources/reports; arbiters' fees from CMS's list of certified IDR entities as of August 31, 2026; Medicare amounts from the CMS physician fee schedule relative value files. Spectare Health's reading. Past decisions on other claims applied to your figures: not a prediction, not advice, and not a check of eligibility or deadlines. Nothing you enter is stored. How we count.
One line is a hint. Your remittances are the answer.
A free claims review screens every out-of-network line you've been paid in the last 90 days, lists the ones that qualify with their deadlines, and tells you what we expect to recover. No patient information is needed to start, and the fee is due only when the payer's money arrives.