Pricing Based on
Your Recovery

What does federal IDR cost?

Separate the government administrative fee, the certified IDR entity’s fee, and Clearest’s service fee when reviewing an engagement. A quoted service percentage does not explain every dispute expense.

Check CMS’s administrative fee timeline, the certified entity fee list, and fee-submission guidance. Ask who advances each expense and when it is reimbursed. The applicable instructions and your written terms control those arrangements.

Does the service fee follow an award or collected cash?

A favorable determination and money received are separate events. Clearest’s published services agreement ties Services Fees to amounts actually received and retained by the client; the Statement of Work sets the fees and payment schedule. Review the agreement’s expense and clawback provisions as well as the service percentage.

• Which received amounts form the fee base, and how are initial payments distinguished from later recoveries?
• What happens if the payer pays only part of a determination or a payment is later reversed?
• Who supplies receipt records, posts payments, and reconciles fees, refunds, and outstanding balances?
• Which expenses remain payable if a dispute is ineligible, withdrawn, settled, unsuccessful, or unpaid?

Use the fee and refund record example to separate expenses advanced, refunds confirmed, and refunds received.

For a claim-level record, see our payment reconciliation guide. A published pricing summary does not replace the terms agreed for your practice.

Sources for this fee and payment distinction checked October 12, 2026. No particular recovery or total expense is promised.