IDR claims processing, automated end to end.

The IDR workflow has too many small steps.

Most teams do not lose time on one big task. They lose time on hundreds of tiny tasks that have to be right. Every missing EOB, wrong payer name, duplicate claim, and missed date slows down recovery.

1. Find possible IDR claims. Pull denied and underpaid out-of-network claims from billing exports, EOBs, EOPs, spreadsheets, and payer files.
2. Extract the claim data. Read patient, payer, provider, claim, service line, payment, adjustment, and denial information from documents.
3. Check the basics. Review dates, network status, payer, service type, geography, plan information, and state or federal process indicators.
4. Prepare open negotiation. Assemble the required claim details, contacts, documentation, and tracking fields.
5. Track the clock. Watch the 30-business-day negotiation window, IDR initiation window, entity selection, offer due dates, RFIs, determinations, and payment follow-up.
6. Batch or separate claims. Group claims when the rules and strategy support it. Keep claim-level detail visible.
7. Report status clearly. Show what is eligible, what is missing, what is due next, what was submitted, what was determined, and what is still unpaid.

Federal IDR claims processing automation

This is not generic RCM software. It is document and workflow automation for the repetitive work around Federal IDR claims, out-of-network reimbursement disputes, and No Surprises Act workflows.

Use automation where people are slow.

Your team should not be manually opening PDFs, copying claim numbers, checking dates, renaming files, updating trackers, and rebuilding the same packet over and over.

• Extract data from EOBs and EOPs
• Normalize payer and provider names
• Match documents to claims
• Identify missing claim numbers and service lines
• Calculate and monitor filing windows
• Create work queues by deadline and status
• Batch claims into review sets
• Generate dispute packets and exports
• Track determinations and payment follow-up
• Build reporting for leadership and operators

Who uses this

Lido is useful for teams that want to process more IDR claims without scaling headcount, outsourcing the workflow, or giving up a percentage of recovery economics.

• Hospitals and health systems with out-of-network reimbursement workflows.
• Physician groups handling emergency medicine, anesthesia, radiology, pathology, surgery, air ambulance, and other IDR-heavy specialties.
• Revenue cycle teams that need cleaner worklists and fewer missed deadlines.
• Billing companies and IDR vendors that want to scale case volume without adding the same amount of manual labor.

Reduced $15 filing fee makes more disputes viable

The Federal IDR administrative fee is now $15 per party per dispute for disputes initiated on or after June 11, 2026. That can make more lower-dollar disputes worth reviewing.

But lower filing costs only help if your team can actually process the volume. The bottleneck moves from filing economics to operational throughput: finding eligible claims, extracting the data, tracking the dates, and preparing the packet before the window closes.

Lido helps teams handle that extra volume without adding the same amount of headcount or handing away a percentage of every recovery.

Software for the team you already have.

Some vendors sell outsourced IDR services. That can make sense. But many teams already have a reimbursement team, an IDR partner, or a legal strategy.

Lido fits underneath that work. It makes the data and documents usable. It gives your team a repeatable operating system for claims, deadlines, packets, and reporting.

You can start with the files and exports your team already uses, prove the workflow on real claims, and expand from there.

FAQ