52 PORTALS ACTIVE // FEDERAL CMS IDR & 50-STATE COMMERCIAL PAYER MRF DIRECTORY
Live Commercial Payer TiC MRF, ERISA Appeal & NSA IDR Directory
Every cohort below includes pre-modeled 25th/50th/75th-percentile TiC MRF CPT/DRG benchmarks, CMS Medicare MPFS RVU/GPCI baselines, and 1-Click 6-File OpenXML (.DOCX + .XLSX) Claim & IDR Package compilation.
| State | Cohort / Case ID | Commercial Payer MRF Cohort & Regulatory Portal | Cohort MRF Value | Target Multiple | Filing Window | Dossier |
|---|---|---|---|---|---|---|
| TX | TXDOI-MRF-CPT-29881-DFW |
[TXDOI-MRF-CPT-29881-DFW] UHC & BCBS-TX Commercial MRF Rate Disparity, ASC Facility Fee & NSA IDR Benchmark (CPT 29881 / 27447 Orthopedic Surgery)
Texas Department of Insurance (TDI) & CMS Novitas JH Payer MRF Index — Dallas-Fort Worth MSA
|
$1,845,000 | 14.5% MPFS | 2026-11-18 | Open Dossier |
| CA | CADMHC-MRF-CPT-63030-SFO |
[CADMHC-MRF-CPT-63030-SFO] Anthem Blue Cross & Aetna MRF Rate Spread, Knox-Keene Prompt-Pay & ERISA Appeal (CPT 63030 / 22551 Spine & Neurosurgery)
California Department of Managed Health Care (DMHC) & Noridian JE MRF Index — Bay Area MSA
|
$2,480,000 | 18.0% MPFS | 2026-11-20 | Open Dossier |
| FL | FLOIR-MRF-CPT-45378-MIA |
[FLOIR-MRF-CPT-45378-MIA] Florida Blue & UnitedHealthcare GI Endoscopy / ASC MRF Rate Spread & FL Stat. § 627.6131 Prompt-Pay Audit (CPT 45378 / 43239)
Florida Office of Insurance Regulation (OIR) & First Coast JN MRF Index — Miami-Dade MSA
|
$1,560,000 | 12.65% MPFS | 2026-11-24 | Open Dossier |
| VA | VABOI-MRF-CPT-99285-RIC |
[VABOI-MRF-CPT-99285-RIC] Anthem HealthKeepers & Cigna Emergency Medicine / Radiology Out-of-Network NSA IDR & Downcoding Audit (CPT 99285 / 74177)
Virginia Bureau of Insurance (SCC) & Palmetto GBA JM MRF Index — Northern VA / Richmond MSA
|
$2,120,000 | 12.0% MPFS | 2026-11-25 | Open Dossier |
| PA | PAPID-MRF-CPT-66984-PHL |
[PAPID-MRF-CPT-66984-PHL] Highmark BCBS & Independence Blue Cross Ophthalmology / Cataract ASC MRF Rate Spread & Act 68 Prompt-Pay (CPT 66984 / 67028)
Pennsylvania Insurance Department (PID) & Novitas JL MRF Index — Philadelphia MSA
|
$1,420,000 | 11.0% MPFS | 2026-11-26 | Open Dossier |
| NY | NYDFS-MRF-CPT-01402-NYC |
[NYDFS-MRF-CPT-01402-NYC] Empire BCBS, EmblemHealth & Oxford Anesthesiology / Plastic Reconstructive NSA IDR & NY ISC § 3224-a Prompt-Pay (CPT 01402 / 19318)
New York State Department of Financial Services (NYDFS) & NGS JK MRF Index — New York Metro MSA
|
$3,150,000 | 16.5% MPFS | 2026-11-27 | Open Dossier |
| IL | ILDOI-MRF-CPT-93458-CHI |
[ILDOI-MRF-CPT-93458-CHI] BCBS-IL & UnitedHealthcare Cardiology / Outpatient Cath Lab MRF Rate Benchmark & 215 ILCS 5/368a Prompt-Pay (CPT 93458 / 92928)
Illinois Department of Insurance (IDOI) & NGS J6 MRF Index — Chicago Metro MSA
|
$1,940,000 | 13.0% MPFS | 2026-11-28 | Open Dossier |
| GA | GAOCI-MRF-CPT-47562-ATL |
[GAOCI-MRF-CPT-47562-ATL] Anthem BCBS-GA & Ambetter General Surgery / Bariatric ASC MRF Rate Spread & O.C.G.A. § 33-24-59.14 Prompt-Pay (CPT 47562 / 49650)
Georgia Office of Commissioner of Insurance (OCI) & Palmetto GBA JJ MRF Index — Atlanta MSA
|
$1,680,000 | 12.5% MPFS | 2026-11-30 | Open Dossier |
| NC | NCDOI-MRF-CPT-70553-CLT |
[NCDOI-MRF-CPT-70553-CLT] Blue Cross NC & Cigna Diagnostic Imaging / IDTF MRI MRF Rate Benchmark & N.C.G.S. § 58-3-225 Prompt-Pay (CPT 70553 / 72148)
North Carolina Department of Insurance (NCDOI) & Palmetto GBA JM MRF Index — Charlotte / Raleigh MSA
|
$1,390,000 | 11.5% MPFS | 2026-12-01 | Open Dossier |
| OH | OHODI-MRF-CPT-52356-CMH |
[OHODI-MRF-CPT-52356-CMH] Anthem BCBS-OH & Medical Mutual Urology / Lithotripsy ASC MRF Rate Spread & O.R.C. § 3901.389 Prompt-Pay (CPT 52356 / 50590)
Ohio Department of Insurance (ODI) & CGS J15 MRF Index — Columbus / Cleveland MSA
|
$1,490,000 | 11.0% MPFS | 2026-12-02 | Open Dossier |
| US | CMS-NSA-IDR-2026-Q4-FED |
[CMS-NSA-IDR-2026-Q4-FED] Federal No Surprises Act (45 CFR 149.510) Certified IDR Entity Arbitration & ERISA 29 CFR 2560.503-1 Multi-Specialty Benchmark
Centers for Medicare & Medicaid Services (CMS) CCIIO & EBSA Federal IDR Portal — National Docket
|
$3,850,000 | 15.0% MPFS | 2026-12-03 | Open Dossier |
| MU | MUNICIPAL-ASC-RCM-2026-09 |
[MUNICIPAL-ASC-RCM-2026-09] Multi-State Ambulatory Surgery Center (ASC) Payer Contract Renegotiation, 835 Underpayment & GFE Compliance Audit
Multi-State Self-Funded Municipal / Public Employee Health Plan & Commercial ASC Network Index
|
$2,250,000 | 14.0% MPFS | 2026-12-04 | Open Dossier |