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Independent Dispute Resolution (IDR) with Commence,
Formerly Livanta

Find everything you need to navigate the Federal IDR process with Commence: how to file a dispute, submit documentation, make a payment, and contact our team.

A New Name,
the Same Trusted Service

As of 2025, Livanta is now Commence. While our name has changed, our team, values, and commitment to delivering impartial, expert-led support under the No Surprises Act remain the same. For nearly 30 years, we’ve helped protect the integrity of healthcare through independent review and dispute resolution. As we continue that work under the Commence name, you can expect the same trusted guidance and deep experience—now with a broader mission to advance data-driven healthcare for all.

Why choose Commence for
IDR processes?

Commence consists of a diverse network of industry professionals with decades of experience and a clear understanding of Independent Dispute Resolution (IDR) processes. The Commence team is represented with nurses, analysts, coders, auditors, paralegals, and attorneys who have an in-depth understanding of healthcare revenue integrity and who come together to create a positive experience for IDR clients.

Commence has been a successful entity in clinical quality improvement for nearly 30 years and for much of this time has been designated as a Quality Improvement Organization (QIO) providing over 1.5 million independent and impartial evaluations of health care access, quality, and cost in the last decade alone. Commence is committed to ensuring the right care at the right time along with the right cost.

For any questions regarding the No Surprises Act, or for more information regarding any of its provisions, please refer to https://www.cms.gov/nosurprises.

Any inquiries related specifically to the Federal IDR process, or to initiate a dispute, should be directed to the official CMS IDR email: FederalIDRQuestions@cms.hhs.gov.

What are Commence’s
IDRE fees?

To help you plan ahead, here’s a quick overview of the two fees associated with the Federal IDR process:

Administrative Fee:

Each party involved in a dispute must pay a non-refundable administrative fee to participate in the federal IDR process. For 2025, this fee is $115 per party per dispute. (administrative fees are due from both parties no later than the time of offer submission)

Commence’s IDR Entity Fees:
  • Single Determination: $690.
  • Batched Determination: $1095.
  • Tiered: $200

When the certified IDR entity confirms there are no conflicts of interest and determines that the Federal IDR Process applies, then each party must pay the applicable fees (held in trust or escrow). The submissions of offers and payments are required to be paid within 10 business days after finalization of IDRE. If fees are not received from either party, then the IDR cannot accept the unpaid offer per CMS guidelines. The IDRE cannot initiate a dispute of an unpaid offer.

For further questions, please email idr@commence.ai.

How to File an IDR Dispute

To begin the process, follow the step-by-step instructions for filing a Federal IDR dispute.

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How to Make a Payment

To complete your IDR submission, securely make a payment through our online portal using a credit card or ACH transfer.

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How Batching Works

Submit multiple similar disputes together when they meet Federal IDR batching criteria.

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How Bundling Works

Combine related services into one payment for easier IDR processing.

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Looking for
CMS resources?

For additional guidance on the Federal Independent Dispute Resolution (IDR) process, the following official CMS resources provide helpful overviews, user guides, and contact information.

Contact Commence Today to Learn More About
IDR Services

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