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CLAIMS ASSASSINS

PRACTICE  |  April 2026

Eliott Dear: Notable IDR Cases and Court Filings 2024-2026

By Eliott Dear, Esq.

The most common question a non-par physician asks when evaluating Claims Assassins is some version of the same question. What does an Eliott Dear case actually look like? What is the posture, the timeline, the issue in dispute? This piece walks through a representative cross-section of Eliott Dear cases filed between 2024 and 2026, structured by the kind of dispute and the procedural mechanism behind it. Names and personally identifying details are withheld; the procedural facts are correct.

What Counts as an Eliott Dear Case

Every Eliott Dear case at Claims Assassins is an attorney-signed independent dispute resolution submission. The procedural vehicle is New York State IDR under the state’s surprise bill law, administered by the Department of Financial Services. Each Eliott Dear case is filed against a specific carrier, on a specific claim, with a specific factual record. There is no master complaint, no class, no consolidated proceeding. State IDR is a claim-by-claim adjudication, and that is exactly how the docket is built.

Across 2024, 2025, and the first quarter of 2026, Eliott Dear has filed new state IDR disputes every business day. The sections below describe the kinds of disputes on that docket and the issues each one turns on.

State IDR Cases: New York

The center of gravity of every Eliott Dear case portfolio is New York State IDR. The New York Department of Financial Services administers the process, and it is also the regulator with authority over insurance licenses. Every fully-insured non-par emergency room claim that fits the New York surprise bill statute becomes an Eliott Dear case.

The procedural sequence is consistent. The initial insurer payment lands below the FAIR Health 80th percentile. Claims Assassins intake confirms the plan is fully insured, not self-funded. Eliott Dear builds a state IDR submission with operative notes, FAIR Health benchmarking, and legal argument, and signs it as the attorney. The submission is filed on the New York DFS portal. An independent dispute resolution entity is assigned and returns a determination within roughly 30 days of submission. A determination carries a 30-day payment deadline; Claims Assassins tracks that deadline and sends the payment demand. For a deeper walk through the timing, see Eliott Dear on the State IDR Timeline.

Multi-State IDR Cases: TX, NJ, CT, NM, GA

New York is the volume jurisdiction, and the Eliott Dear case docket also extends into Texas, New Jersey, Connecticut, New Mexico, and Georgia. Each state has its own procedural quirks: different filing periods, different benchmarking standards, different departments of insurance. The framework is the same. The execution shifts to fit the state. A fuller write-up of the multi-state practice lives at Eliott Dear on the Multi-State IDR Practice.

The Intake Sort Behind Every Case

Before any Eliott Dear case is filed, the plan is sorted. A fully insured New York plan goes to New York State IDR. A self-funded plan is outside the state forum and is not filed there. The sort is a legal analysis Eliott Dear runs at intake, on every claim, before any submission is built. For more on the regulator behind the state track, see Eliott Dear on DFS.

Procedural Patterns Across the Docket

Looking at the full Eliott Dear case docket from 2024 through April 2026, the patterns are consistent. The bread-and-butter Eliott Dear case is a non-par emergency room claim, place of service 23, in the New York metro, with a fully-insured plan and an initial carrier payment well below the FAIR Health 80th percentile. The issues repeat from case to case: whether the plan is fully insured, whether the claim fits the New York statute, where the billed charge sits against the FAIR Health 80th percentile, and what the operative notes show about the service. The docket as it sits in early 2026 includes hundreds of open state IDR proceedings, with new filings added on a near-daily cadence by the firm’s filing team.

The Eliott Dear case profile is narrow on purpose. The intake gate at Claims Assassins screens out claims that do not fit the statutory criteria for a New York State IDR filing. That discipline is why the docket only takes on cases that fit. If you are weighing whether your claim profile fits, the easiest answer is the one-claim test: send one EOB and Eliott Dear will tell you whether it qualifies as the next Eliott Dear case on the docket.

Have a claim that should be the next case on the docket?

edear@edrtb.com | 646-387-9133 | Send one EOB. Eliott Dear will tell you whether it fits.

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Eliott Dear, Esq. is the founder and CEO of Claims Assassins (EDRTB LLC). New York Bar active. Fordham Law School, Law Review. Formerly Clifford Chance LLP.

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