No Surprises Act Compliant

Medical Billing IDR
Built for the No Surprises Act

Process federal and state Independent Dispute Resolution cases end-to-end. Import cases from CMS, screen eligibility, manage baseball-style arbitration with sealed final offers, analyze all seven statutory factors, and generate AI-powered opinions — all in one platform. Built-in CPT code registry with 16,978+ codes. Included in Professional and Enterprise plans.

No Surprises Act (45 CFR Part 149)
URAC Accreditation Support
5 Languages Supported

End-to-End IDR Workflow

From CMS import to completed determination in seven clear steps

1

Import

Upload CSV/Excel from CMS

2

Screening

6-item eligibility checklist

3

Eligible

All checks passed

4

Assigned

Arbitrator assigned

5

In Progress

Offers being submitted

6

Determined

Winning offer selected

7

Closed

Case finalized

Purpose-Built IDR Tools

Everything IDR entities need — without the Salesforce consulting bill

Bulk Case Import

Import cases from CMS portal exports (CSV/Excel) with automatic field mapping, CPT code format validation against the built-in 16,978+ code registry, and duplicate CMS reference detection. Download the CSV template before your first import. Supports up to 50,000 rows per upload.

Baseball-Style Arbitration

Final-offer arbitration enforced at the platform level. Sealed offers, locked submissions, optional per-dispute deadlines with automatic reminders, and the arbitrator selects one offer exactly as written.

Eligibility Screening

Six-item manual checklist covering jurisdiction, batching, timelines, negotiations, disclosures, and QPA. Auto-advances status when all checks pass.

Statutory Factor Analysis

Structured analysis for all 7 required factors with free-text findings and supported/not-supported toggles. Completeness validation ensures all jurisdiction-required factors have findings before determination. Federal vs Texas branching built in.

QPA & Benchmark Tracking

Track QPA and Fair Health 50th/80th percentile benchmark data per dispute. Federal cases show QPA fields; Texas cases show Fair Health fields.

AI Opinion Drafting

Generate complete draft opinions following standard IDR template structure. Regenerate with custom instructions. Multiple versions tracked. 4,000-8,000 tokens per generation.

CMS Compliance Reporting

Quarterly CSV exports aligned to the CMS Public Use File format with automatic reminders to administrators at the start of each reporting period. Always exported in English per CMS requirements.

Arbitrator Performance Metrics

Per-arbitrator reporting: total cases, average days to determination, provider win rate, and plan win rate. Full audit trail for URAC accreditation support.

Branded Word Document Export

Export opinions as professionally formatted Word documents with entity branding, 10 structured sections with Roman numeral headings, financial tables, signature block, and page numbers — ready for review and signing.

CPT Code Typeahead

Search-as-you-type across 16,978+ CPT and HCPCS codes from the CMS Medicare Physician Fee Schedule. Results include code number and category for all users. AMA-licensed tenants see procedure descriptions and can search by description text.

Platform-Enforced Sealed Offers

The No Surprises Act requires baseball-style arbitration where each party submits a single final offer. Vilulia enforces this at the platform level — no workarounds, no exceptions. Set optional per-dispute deadlines with automatic 24-hour reminders and past-due alerts.

Each party submits independently — offers are locked once submitted
Parties cannot see the opposing offer until both are in
Only arbitrators and tenant admins can view both offers
The arbitrator must select one offer exactly as written — no custom amounts

Determination

Both Offers Received
Provider Offer
$4,250
Locked
Plan Offer
$2,100
Locked

All 7 Statutory Factors

Structured analysis with jurisdiction-aware display for Federal and Texas cases

1
Medical Necessity
2
Provider Qualifications and Experience
3
Patient-Specific Factors
Texas Emphasis
4
Good Faith Contracting Efforts
Federal Only
5
Market Share
Federal Only
6
Quality and Outcome Measurements
Federal Only
7
Additional Factors

AI Draft Opinion

Version 3

I. Authority & Jurisdiction

This determination is issued pursuant to 45 CFR Part 149, Subpart B...

II. Services at Issue

CPT 27447 — Total knee arthroplasty, DOS 2024-03-15...

V. Statutory Factor Analysis

Factor 1 (Medical Necessity): Supported. The provider demonstrated...

AI-Powered Opinion Drafting

Vilulia's AI generates a complete draft opinion following the standard IDR template — reducing a 2-4 hour manual process to under 30 minutes of arbitrator review.

Pulls from all structured case data — parties, CPT codes, financials, benchmarks, offers
Incorporates all 7 factor analysis findings with supported/not-supported indicators
Regenerate with free-text instructions to refine specific sections
All draft versions saved and viewable — never lose previous work
Generate opinions in English, Spanish, French, German, or Portuguese

Why IDR Entities Choose Vilulia Over Salesforce

Salesforce requires $150K-$300K in custom consulting to build IDR workflows from scratch, plus $300-$450/user/month in licensing. Vilulia includes purpose-built IDR tools in every Professional and Enterprise Arbitrate subscription.

$75/case
Per determination — no consulting fees
< 30 min
AI-assisted opinion review time
$0
Implementation & consulting fees

Simple, Transparent Pricing

Medical Billing IDR is included in Professional and Enterprise tiers of Vilulia Arbitrate and Vilulia Complete at no additional monthly cost.

$75 per determination
Usage-based fee charged only when an arbitrator completes a determination

Enterprise pricing is custom-negotiated and can be discounted or waived as part of enterprise contracts.

Ready to Streamline Your IDR Operations?

Join IDR entities already using Vilulia to process No Surprises Act disputes faster and more consistently.

Professional and Enterprise plans include Medical Billing IDR at no additional monthly cost.