CMS Independent Dispute Resolution
BabyKong is purpose-built for CMS IDR compliance, automating the complex regulatory requirements of 45 CFR 149.510 while delivering 99% faster processing and perfect audit trails.
Complete 45 CFR 149.510 Compliance
BabyKong automates every aspect of CMS Independent Dispute Resolution requirements, ensuring perfect compliance with federal regulations.
Automated Factor Analysis
Automated extraction and analysis of all required IDR factors including provider qualifications, payment history, market rates, complexity of service, and patient acuity.
Certified IDR Entity Requirements
Full compliance with certified IDR entity standards including arbitrator qualifications, conflict of interest management, and decision timeline adherence.
30-Day Decision Timeline
Automated processing ensures decisions are rendered within the required 30-day timeline, with real-time tracking and automated notifications.
Complete Documentation
Automated generation of all required documentation including written decisions, factor analysis reports, and regulatory compliance attestations.
Payment Determination
AI-powered analysis of qualifying payment amounts, median contracted rates, and additional circumstances to determine appropriate reimbursement levels.
Audit Trail Management
Blockchain-based audit trails providing complete transparency and regulatory compliance for all IDR decisions and supporting documentation.
Automated IDR Process Flow
BabyKong's automated workflow handles the complete IDR process from initiation to final decision, ensuring compliance at every step.
Case Initiation & Validation
Automated intake validates eligibility, confirms 30-day good faith negotiation period, and ensures all required documentation is complete.
Arbitrator Assignment
AI-powered matching assigns qualified, conflict-free arbitrators based on case complexity, specialty requirements, and regulatory compliance factors.
Evidence Analysis
Advanced AI analyzes all submitted evidence, extracts relevant IDR factors, and generates comprehensive factor analysis reports.
Decision Generation
AI-assisted decision making with human arbitrator oversight generates compliant written decisions within regulatory timelines.
CMS IDR Performance Metrics
BabyKong delivers exceptional performance while maintaining perfect regulatory compliance.
Ensure Perfect CMS IDR Compliance
Experience automated compliance with 45 CFR 149.510 while delivering 99% faster processing and perfect audit trails.