NSA · California
NSA IDR for California surgical practices.
California combines federal NSA IDR with state surprise billing rules for certain fully insured plans. Kronos Revenue navigates both pathways for orthopedic, neurosurgery, spine, and plastic surgery groups.
- Surgeon founded
- HIPAA compliant · BAA on request
- One claim per CPT at federal IDR
High out of network surgical volume in California ASC and hospital markets creates substantial IDR opportunity when claims are filed correctly, one CPT per dispute.
Medical review
References
- CMS Federal IDR Q1/Q2 2025 Public Use File (January 21, 2026)
- Georgetown University CHIR · Health Affairs webinar, March 2026
- Brookings Institution NSA Arbitration Databook · April 2026
- ACR — Providers prevail in vast majority of IDR claims · January 29, 2026
- Zelis — NSA IDR eligibility challenges · March 2026
- No Surprises Act: Public Law 116-260, Division BB, Title I
- Federal IDR regulations: 45 CFR Part 149
- CMS No Surprises Act overview
- Federal IDRE portal
Get a free NSA IDR review for your California practice
- Surgeon founded
- HIPAA compliant · BAA on request
- One claim per CPT at federal IDR