Answers
Plain-language answers for GI practices and the anesthesia groups that sedate their patients, based on CMS public use file data and the No Surprises Act rules for scheduled procedures at hospitals and surgery centers.
The gastroenterology IDR record
1,446 gastroenterologist disputes, 3,032 procedure disputes, 64,022 sedation disputes, and the win rates, speed, payers, and states behind them.
Read the answerCan gastroenterology claims use federal IDR?
Which settings qualify, who can be asked to waive, how the consent form works for GI care, and what the Act does not reach.
Read the answerWhat colonoscopy and endoscopy codes pay in federal IDR
Dispute counts, win rates, median QPAs, and median awards for the colonoscopy, upper endoscopy, and endoscopy sedation codes.
Read the answerFor questions beyond this site, such as which claims are eligible or how the arbitration itself unfolds, 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 providers are winning. Talk to an IDR specialist.