Federal IDR Entity Intelligence — 2025 Q3–Q4

Trilatic Research · September 2026 · PDF + HTML, 15 pages · $1,950

The CMS Federal IDR Public Use Files for 2025 Q3 and Q4 are the first to name the certified IDR entity on every determination. This report turns those two files, the CMS supplemental tables, the certified-entity list and the June 2026 Operations final rule into one sourced reference on the active entities: how an entity is named under the new rule (objection window, random selection, the five-business-day eligibility clock), what changes on 1 November 2026 for batching, the 2025 versus 2026 fee schedule, program- and state-level quarterly volumes on three published denominators, timeliness distributions, default-decision rates, entrants and exits since 2022, the recertification mechanics that first-cohort entities face in early 2027, and the $1.263 billion CMS reports paying certified entities in 2025 (CMS, Federal IDR public use file, 2025 Q3–Q4, Table 6).

Every entity-level figure carries its citation on the same line; where two computations disagree, both are shown. No rankings, no characterisations, no selection advice — facts a diligence team or counsel can cite as they stand.

What's inside

• Selection mechanics under the June 2026 rule — the objection window, the eligibility clock, the random-selection procedure, and the Departments' own objection statistics quoted from the rule text.
• Fee schedules, 2025 vs 2026 — the published fee structures and application IDs; published fees checked against fees actually charged in the public-use files.
• Program- and state-level volumes, timeliness and default-decision rates — 2025 Q3 and Q4 on dispute and line-item denominators, share within and beyond 30 days, with the unit-definition question stated rather than assumed. No entity is ranked or compared.
• Program status changes 2022–2026 — certification notices, "not accepting" flags past and present, ownership changes with certification continuing, and the recertification timeline the five-year term implies.
• The 2025 wallet and its denominators — CMS compensation by quarter, the Texas share on three denominators, and a methods-and-limitations page covering the determination-conditional public-use file and the unpublished ineligibility rate.

Who it is for, and who it is not

Sold to healthcare law firms, diligence teams, consultants and certified IDR entities. Not sold to organisations that appear as a party or administrator in federal IDR disputes. Every purchaser is recorded on our counterparty ledger; if we are later certified, we recuse from any dispute involving a purchaser.

Consulting and expert engagements

Hourly consulting and expert engagements on federal IDR process mechanics, the June 2026 rule, and the public-use-file data are available on the same terms: written opinions on the record, no contingent fees, every engagement logged on our counterparty ledger. Enquiries to research@trilatic.com.

How to buy

Email research@trilatic.com with your organisation and role. We reply within one business day with an invoice (bank transfer). The PDF and HTML are delivered on payment, with a licence for internal use by the purchasing organisation. Sample pages on request.

Trilatic is the trade name of Ripplarity Inc, a Delaware corporation. Not certified. An application for certification as an independent dispute resolution entity under 45 CFR 149.510 is in preparation. This report states no outcome and gives no advice to any party.