No Surprises Act Federal IDR operations
Recover eligible out-of-network revenue before the window closes.
Champ moves qualified disputes through open negotiation and Federal IDR, assembles the required evidence, tracks every filing window, and reconciles the final payment while your team approves consequential offers and exceptions.
Federal IDR recovery queue
Every dispute, deadline, and payment outcome
Applicability review
Federal and state process path checked
Open negotiation
Notice delivered and response window tracked
IDR submission
Offer and supporting evidence assembled
Payment follow-through
Determination matched to remittance
EXECUTION
Continuous
EVIDENCE
Every step
OWNER
Champ
Every window
tracked by dispute
One case
from negotiation to payment
Approval
for consequential offers
The operational bottleneck
The federal process is defined. The operational work is still fragmented.
Teams must determine whether a dispute belongs in the federal process, preserve evidence across multiple stages, act inside short filing windows, and verify that the determination actually reaches the payment record.
Bring us your workflowFederal, state, and all-payer processes can apply differently based on coverage and jurisdiction
The 30-business-day open negotiation period is followed by a four-business-day IDR initiation window
Claim, remittance, communication, and supporting evidence live across separate systems
A favorable determination does not complete the workflow until payment is reconciled
The production workflow
One continuous operation, not another disconnected tool.
Champ coordinates browser, document, API, voice, and human steps around the outcome your team is responsible for.
- 01Identify and qualify the dispute
Read the claim and remittance, check coverage and jurisdiction facts, and route unclear applicability questions for review.
- 02Run open negotiation
Prepare the notice, deliver it through the approved channel, preserve proof, and monitor the full negotiation period.
- 03Initiate Federal IDR
Assemble claim data, offers, attestations, and supporting materials for an authorized reviewer before submission.
- 04Reconcile the outcome
Track entity selection and determination, compare the result with remittance and payment, and escalate underpayments or missing funds.
Why it stays reliable
Built around the work, not a brittle integration map.
Your systems can stay exactly where they are. Champ operates across them, records what happened, and improves the workflow as the process changes.
Works with your stack
If your team can access it, Champ can work in it.
Use APIs where they are dependable and managed browser agents everywhere else. No rip-and-replace required.
Change the operating model
Give your team exceptions, not another queue to babysit.
- Teams reconstruct eligibility from claim and plan details
- Short filing windows are tracked in spreadsheets and inboxes
- Evidence packets are assembled separately at every stage
- Determinations and final payments are reconciled by hand
- Approved applicability logic produces a source-backed case path
- Every deadline creates the next action and escalation automatically
- Claim data, notices, offers, and evidence remain in one record
- The workflow continues until the payment outcome is confirmed
More healthcare workflows
One platform across the back office.
No Surprises Act Federal IDR operations FAQ
Questions healthcare operators ask first.
You have more questions?
Send us an email