
Revenue Cycle Management
Federal & State IDR
At Gryphon, We Know IDR
In addition to the full revenue cycle management we offer to our clients, Gryphon Healthcare utilizes both Federal and State Independent Dispute Resolution (IDR) processes to ensure our clients get the most reimbursement for every claim that is filed.
Federal IDR
Self funded plans are disputed through the Federal IDR process.
- The Federal IDR process is worked through Open Negotiation Forms (ONF).
- They are filed through the Centers for Medicare & Medicaid Services (CMS) IDR portal, as needed, for resolution.
The Federal IDR Process Includes:
- Arbitrations: For billing disputes between OON facilities or healthcare providers and health plans
State IDR
Fully funded plans are disputed through the State IDR process.
- Many states have their own State IDR processes that apply to certain disputes, depending on the type of health plan and the services provided.
- This process is used to mediate or arbitrate disputes without involving the consumer.
- In Texas, the Texas Department of Insurance (TDI) oversees the IDR process.
- Health plans and OON providers or facilities must use the TDI portal to handle these disputes.
The State IDR Process Includes:
- Mediations: For billing disputes between OON facilities and health plans
- Arbitrations: For billing disputes between OON healthcare providers (physician accounts) and health plans
Our IDR Results Speak for Themselves
With a proven win rate of over 90%, Gryphon Healthcare consistently delivers outstanding results through the Federal and State Independent Dispute Resolution (IDR) process. Our success has helped clients recover thousands of additional dollars, revenue that would have otherwise gone uncollected. We do not just manage IDR cases; we win them.
90%+
Win Ratio

Since the No Surprises Act took effect, Gryphon’s IDR expertise has helped us win a significant percentage of arbitrations and recover more revenue per case—results that speak for themselves. Gryphon has been our trusted partner since 2018, working alongside us daily as an extension of our team and advocating for our success with the same dedication as our own staff. Elite Hospital Kingwood values our ongoing partnership with Gryphon Healthcare and looks forward to continued success together.
— Jeremy Brynes, CEO, Elite Hospital Kingwood