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Insurers Report Surge in Ineligible Claims Submitted for IDR
HealthLeaders Link to more items from this source
Nov. 10, 2025

"Almost 4 in 10 disputes submitted to the IDR process are deemed ineligible by insurers, often due to errors such as resubmitted cases, claims covered by state laws, or services involving in-network providers. Both payers and providers face mounting costs and delays as IDR entities struggle to filter invalid cases, complicating cash flow for health systems. CFOs should tighten eligibility checks, track dispute-to-payment metrics, and align closely with revenue cycle teams to minimize rejected filings and improve reimbursement efficiency."  MORE >>

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