How IDR Works in Practice
Illustrative examples of how practices use IDR to recover out-of-network revenue, organized by specialty.
A different practice.
The same need for clarity.
Select a specialty to explore its example, then open the full story.
Recovered $2.3M in underpaid claims
How a network of freestanding ERs built a systematic IDR program to recover revenue from out-of-network emergency services.
An anonymized, composite example. These figures illustrate a scenario and are not verified customer results or a forecast for your practice.
THE INDUSTRY CONTEXT · REPORTED HISTORICAL DATA
3.3M+
IDR disputes filed
mid-2022 to May 2025
85%
Provider win rate
2024 industry data
$2.24B
Paid to providers above QPA
2023–2024
3.7×
Median IDR vs. Medicare
across all specialties
Sources: Georgetown CHIR (May 2025), Brookings (Adler & Fiedler, March 2024). These are industry-wide IDR process metrics, not Clearest-specific results.
Illustrative Examples by Specialty
Walkthroughs of how the IDR process works across different specialties. Anonymized and composited from typical engagements.
Recovered $2.3M in underpaid claims
How a network of freestanding ERs built a systematic IDR program to recover revenue from out-of-network emergency services.
$2.3M
Recovered
94%
Win Rate
12 months
Timeline
Increased collections by 38%
Strategic IDR filing for high-volume anesthesia practices with complex payer contracts and systematic underpayment.
$1.8M
Recovered
91%
Win Rate
9 months
Timeline
Recovered $4.1M in disputed claims
Navigating complex balance billing regulations with cost-based evidence and air ambulance-specific benchmark data.
$4.1M
Recovered
89%
Win Rate
14 months
Timeline
Recovered $1.9M from systematic denials
Fighting medical necessity denials with clinical evidence and surgical society guidelines.
$1.9M
Recovered
87%
Win Rate
11 months
Timeline
Recovered $890K in reconstructive cases
Distinguishing medically necessary reconstruction from elective procedures with clinical evidence.
$890K
Recovered
92%
Win Rate
10 months
Timeline
Recovered $3.2M in complex cases
Maximizing reimbursement for multi-level fusion procedures with implant cost documentation.
$3.2M
Recovered
91%
Win Rate
15 months
Timeline
Recovered $1.4M in coverage denials
Overcoming coverage denials and underpayment for weight loss surgery with medical necessity evidence.
$1.4M
Recovered
85%
Win Rate
12 months
Timeline
What Made the Difference
Common factors across successful practices
Verified Benchmarks
Real payment data
Strategic Selection
Winnable cases only
Full Documentation
Nothing left to chance
Deadline Management
Never miss a window