Answers
Plain answers on No Surprises Act arbitration for surgical groups. Every page leads with the answer and sticks to the published federal record: 3.39 million disputes from the CMS public use files, 2023 through 2025.
Can surgeons use federal IDR?
Yes, through two doors: emergency care and out-of-network surgery at an in-network facility. What the consent waiver does and does not block, and what never qualifies.
Read the answerAssistant surgeon claims at federal IDR
Federal rules put assistant surgeons on the never-waivable list. 17,926 published disputes, an 89.8 percent win rate, and the batching math that makes small assist claims worth arbitrating.
Read the answerOn-call surgeons and emergency surgery
Emergency episodes are protected end to end and can never be waived. What trauma, general surgery, and plastics claims win, and where on-call money actually gets lost.
Read the answerFor general No Surprises Act questions that are not surgeon specific, such as how the qualifying payment amount works or what the process costs, see the Lido IDR answers library. The full dispute record is explorable at idrexplorer.com.
Have a question about your own claims?
Bring your payer mix and rough out-of-network volume to a 30 minute call. We will sort what is eligible and show you what similar groups are winning. Talk to an IDR specialist.