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Site Map
All 96 pages on this site, each shown with the figure it reports from the Departments' published Federal IDR tables for the second half of 2025. If you are looking for a particular state, specialty or health plan, it is here.
By state
Federal IDR disputes initiated, second half of 2025. States marked “own state law” are those CMS flags as having a specified state law or All-Payer Model Agreement, which decides whether a given claim belongs in the federal process or the state one.
- Alabama 11,091 disputes
- Alaska 2,625 disputes
- Arizona 87,659 disputes
- Arkansas 19,939 disputes
- California 70,414 disputes · own state law
- Colorado 12,765 disputes · own state law
- Connecticut 6,842 disputes · own state law
- Delaware 1,723 disputes · own state law
- Florida 79,615 disputes · own state law
- Georgia 53,009 disputes · own state law
- Hawaii 590 disputes
- Idaho 5,642 disputes
- Illinois 11,764 disputes · own state law
- Indiana 37,880 disputes
- Iowa 1,628 disputes
- Kansas 8,777 disputes
- Kentucky 8,924 disputes
- Louisiana 35,205 disputes
- Maine 1,355 disputes · own state law
- Maryland 5,060 disputes · own state law
- Massachusetts 2,383 disputes
- Michigan 8,468 disputes · own state law
- Minnesota 404 disputes
- Mississippi 10,568 disputes
- Missouri 20,287 disputes · own state law
- Montana 330 disputes
- Nebraska 680 disputes · own state law
- Nevada 22,340 disputes · own state law
- New Hampshire 653 disputes · own state law
- New Jersey 72,832 disputes · own state law
- New Mexico 13,125 disputes · own state law
- New York 52,050 disputes · own state law
- North Carolina 15,248 disputes
- North Dakota 102 disputes
- Ohio 24,747 disputes · own state law
- Oklahoma 28,958 disputes
- Oregon 1,681 disputes
- Pennsylvania 8,517 disputes
- Rhode Island 1,111 disputes
- South Carolina 12,391 disputes
- South Dakota 2,362 disputes
- Tennessee 46,792 disputes
- Texas 524,630 disputes · own state law
- Utah 1,883 disputes
- Vermont 9 disputes
- Virginia 24,527 disputes · own state law
- Washington 5,054 disputes · own state law
- Washington DC 465 disputes
- West Virginia 2,556 disputes
- Wisconsin 8,051 disputes
- Wyoming 667 disputes
By specialty
Median prevailing offer as a multiple of the qualifying payment amount, with the number of payment determinations behind it. From CMS Table 14.
- Emergency Medicine 3.34× QPA · 590,265 determinations
- Radiology 3.98× QPA · 170,853 determinations
- Anesthesiology 3.61× QPA · 116,912 determinations
- Surgery 15.03× QPA · 109,221 determinations
- Pathology 4.4× QPA · 69,871 determinations
- Neurology Ionm 25.85× QPA · 66,541 determinations
- Infusion Therapy 4.24× QPA · 44,392 determinations
- Cardiovascular 4.74× QPA · 27,878 determinations
- Hospital Medicine 3.7× QPA · 26,735 determinations
- Critical Care 3.47× QPA · 24,514 determinations
- Air Ambulance 2.37× QPA · 20,416 determinations
- Vascular Diagnostics 6.71× QPA · 10,159 determinations
- Pulmonary 4.16× QPA · 6,889 determinations
- Care Management 2.39× QPA · 1,345 determinations
- Neonatal Intensive Care 2.38× QPA · 1,210 determinations
- Telehealth 2.26× QPA · 816 determinations
By health plan
Disputes with each organisation as the non-initiating party, from CMS Table 9. Two of them appear in only one quarter of the half-year and are marked accordingly.
- UnitedHealthcare 338,429 disputes
- BCBS Texas 237,947 disputes
- Aetna 185,954 disputes
- MultiPlan (now Claritev) 144,697 disputes
- Anthem 112,804 disputes
- ClearHealth Strategies 95,628 disputes
- Cigna 44,931 disputes
- BCBS Arizona 22,932 disputes
- BCBS Florida 7,849 disputes · Q3 2025 only
- BCBS Illinois 6,471 disputes · Q4 2025 only
Articles
- 7 Tactics Insurance Companies Use to Underpay Physicians And How to Fight Back
- Batching: When Small Claims Became Worth Filing
- Challenging the QPA
- Emergency Medicine Revenue Recovery: Why ER Physicians Leave Millions on the Table
- How Much Can Your Practice Recover? Medical Revenue Recovery Calculator
- IDR vs. ERISA Appeals: Which Strategy Maximizes Your Recovery?
- The Complete Guide to No Surprises Act Arbitration for Physicians (2026)
- Why One in Five Disputes Never Reaches a Decision