DOCKETsolution

Federal No Surprises Act · IDR Decision Support

Know what a disputed claim is actually worth — before you file.

Docket values out-of-network claims under the No Surprises Act, tracks every statutory deadline, and ranks a whole portfolio of disputes — grounded entirely in real, cumulative CMS arbitration data. No invented benchmarks. No black-box model.

Offer Calculator Live data
CPT 27447
Total Knee Replacement
−20%Recommended Offer+20%
Based on 1,895 real Federal IDR disputes for this exact code · 2023 Q1–2025 Q4.
Most-recent-year figure Regional reference
5,824,252
Real disputes behind every recommended offer
1,789
CPT / HCPCS codes benchmarked
12
Real CMS quarters ingested, cumulative — 2023 Q1–2025 Q4
1,695
Real payers tracked by name
Docket Entry 01  —  The Opportunity

Every qualifying claim is already a case.

The Law
Mandatory

Federal arbitration for out-of-network billing disputes — not optional, not case-by-case.

The Scale
19

specialties with real, recurring dispute history — every quarter CMS has released since the program began.

The Gap
Guesswork

is still how most providers and attorneys decide what to dispute, and what to ask for.

Docket Entry 02  —  The Platform

Know what it's worth. Know exactly where it stands.

Live today, pairing real valuation data with a live view of every case as it moves toward resolution.

01

Offer Calculator

A recommended opening offer and defensible range, sourced from the average amount providers have actually asked for in comparable disputes for that exact code — never a formula applied to billed charge.

02

Case Tracker

Every case, at a glance — not buried in a PDF or a spreadsheet.

03

Arbitrator & Payer Intelligence

Which certified IDR entities decide disputes for that exact code, and how they've ruled — plus a specific payer's settlement behavior.

04

Rank Claims

Upload a batch of candidate claims by code and billed amount, and every row is scored by dollar upside weighted by how much CMS precedent backs it. One click turns a ranked row into a filed case.

05

Code Lookup

Look up any CPT/HCPCS code's recommended offer with zero case tied to it — a pure sandbox for exploring what a code is worth.

Case Tracker rolls up the IDR Timeline and Eligibility Checklist in one view — six business-day-tracked stages from Open Negotiation through Payment, and all eight statutory eligibility criteria, auto-checked from case data where possible.

Built multi-tenant. Every client firm gets its own secure, self-service instance — not a shared internal demo workspace.

Docket Entry 03  —  How You Work With Docket

Software to build the case. A team to file it, if you'd rather hand it off.

Every client starts the same way — a defensible, data-backed filing position built in Docket. From there, it's your choice who actually submits it.

Start here, every time: build the case in Docket
Self-Serve

File it yourself

Value the claim, confirm eligibility, and track every deadline in Docket — then you click submit on the federal IDR portal.

Full-Service

Let Docket file it

Hand it off entirely — Docket's team clicks submit for you, start to finish.

Docket Entry 04  —  The Data Foundation

Real data, cut the ways a dispute actually needs.

Built on CMS's own published Federal IDR data, rebuilt this year into a true cumulative history rather than a rolling single-quarter snapshot — visible in-product on Docket's own Data Sources tab, not asserted in a pitch deck.

5,824,252
Real Federal IDR disputes behind every number Docket shows — 2023 Q1–2025 Q4, cumulative
By CPT/HCPCS Code
1,789

codes with enough real precedent to benchmark — every recommended offer grounded in disputes for that exact code, never a specialty-wide blend.

By Geography
10,342

real code/metro-area combinations — a regional reference point shown alongside the national offer, never replacing it.

By Arbitrator & Payer
1,695

real payers and 15 certified IDR entities, tracked by name with actual win rates — live-searchable.

Growing every quarter

From one quarter to a true cumulative history.

Old: single quarter only1,209,417
Now: cumulative, 12 real quarters5,824,252

A code needs at least 10 real disputes on record before Docket shows a number at all — never a guess.

Why not the usual methods

Compared to how a claim is normally valued.

Medicare RVU × conversion factorNot designed for disputes
FAIR Health percentile bandsMeasures the ask, not the outcome
The payer's own QPATheir opening position — one-sided
Specialty rule-of-thumb multiplier29× too high to 80% too low, tested
Docket — real per-code outcomesWhat actually settled, that exact code
Docket Entry 05  —  Who It's For

Same toolkit, your own cases — whichever seat you sit in.

Role changes which cases you see by default. It never changes what you can do with them — physicians increasingly use Docket directly rather than routing every dispute through counsel first.

Seat 01 Primary buyer

Physician

Value and track your own disputed claims directly, and assign a case to a specific owner in a multi-provider practice.

Seat 02

Attorney

Toggle between your own cases and the full firm portfolio, use Rank Claims to triage a new batch, and build a filing position backed by cited precedent rather than a client's gut feel.

Seat 03

Billing Team

Run the portfolio view across every case a practice owns, rank incoming claims before deciding what's worth disputing, and keep deadlines and supporting documents in one place per case.

Get In Touch

See a real case file — not a slide about one.

A live walkthrough runs on Docket's actual production platform, with real, cumulative CMS-backed numbers — not a mockup built for the pitch.

For Physicians, Attorneys & Billing Teams

Request a Demo

See the platform against real cases in a 20-minute walkthrough.

Request a Demo
For Investors

Investor Inquiries

Ask about the data, the roadmap, and the current raise.

Get In Touch