No Surprises Act IDR: the cell that decides the dispute and the offer band
idr_offerFederal No Surprises Act independent dispute resolution (45 CFR 149.510), computed from the CMS Federal IDR public use file (2025 Q4, 532,542 disputes, 1.41M line items). For a CPT/HCPCS code, payer (email domain or common name) and state, with an optional certified IDR entity and QPA in dollars: determinations in the cell, provider win rate, the quartiles of winning provider offers as multiples of QPA, the plan's usual offer, the losing providers' median ask, default-decision share, median days, every arbitrator's provider loss rate in the cell with its 2026 fee and certification status (IPRO and Network Medical Review decertified Nov 4 2026), the top three entities to propose, the recommended offer band (cell median to 75th percentile of winning multiples) and, with a QPA, the band and expected value in dollars. Vintage and flags on every answer. Free when the cell has under 50 determinations or with preview=true (cell size and win rate only); otherwise with a Tensorust enterprise key. Data only: Tensorust does not file or represent.
Tool call template
Replace each placeholder with a value matching the input schema. Only required parameters are included; add optional parameters as needed.
{
"id": 1,
"jsonrpc": "2.0",
"method": "tools/call",
"params": {
"arguments": {
"code": "<code>"
},
"name": "idr_offer"
}
}Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| qpa | No | Optional qualifying payment amount in dollars | |
| code | Yes | CPT or HCPCS code, e.g. 99284 | |
| payer | No | Payer email domain as the file records it (uhc.com, bcbstx.com, aetna.com, cigna.com, multiplan.com, anthem.com, clearhs.com, centene.com) or a common name (UnitedHealthcare, BCBS Texas, Aetna) | |
| state | No | Two-letter state of service, e.g. TX | |
| entity | No | Optional arbitrator to evaluate: FHAS, PRI, MCMC, MAXIMUS, C2C, IMPROVE, EDIPHY, NMR, ACENTRA, MET, PROPEER, CAPBRIDGE, LIVANTA, IPRO, NMRC | |
| preview | No | true: free answer with the cell size and win rate only |