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 result? This piece walks through a representative cross-section of Eliott Dear cases filed between 2024 and 2026, structured by the procedural mechanism that drove the recovery. Names and personally identifying details are withheld; the procedural facts are accurate.
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 statutory IDR under either New York Insurance Law Article 6 (the surprise bill law) or the federal No Surprises Act. 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 and federal IDR are claim-by-claim adjudications, and that is exactly how the portfolio is built.
Across 2024, 2025, and the first quarter of 2026, the Claims Assassins docket has grown to several hundred open Eliott Dear cases at any given moment, with a steady cadence of new state IDR filings every business day. The sections below summarize the procedural pattern of those cases.
State IDR Cases: New York
The center of gravity of every Eliott Dear case portfolio is New York state IDR. The reason is structural: the New York Department of Financial Services has authority over insurance licenses, and that authority means awards get paid. Every fully-insured non-par emergency room claim that fits the New York surprise bill statute becomes an Eliott Dear case under Article 6.
The procedural sequence is consistent. Initial insurer payment lands below the FAIR Health 80th percentile. Claims Assassins intake confirms the plan is fully insured (not self-funded ERISA, which would route to federal). Eliott Dear builds a state IDR submission with operative notes, FAIR Health benchmarking, and legal argument. The submission is filed on the New York DFS portal. An independent dispute resolution entity is assigned. The IDRE returns a determination, almost always in favor of the provider, within roughly 30 days of submission. The carrier pays the awarded amount within 30 days of the determination. From filing to bank deposit, the typical Eliott Dear state IDR case closes in 60 to 120 days. 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, but the Eliott Dear case docket extends into every state with a real surprise bill statute and real enforcement. Texas IDR cases, New Jersey IDR cases, Connecticut IDR cases, New Mexico IDR cases, and Georgia IDR cases each have their own procedural quirks: different filing windows, different benchmarking standards, different department-of-insurance enforcement postures. The framework is the same. The execution shifts to fit the state. A separate write-up of the multi-state practice lives at Eliott Dear on the Multi-State IDR Practice.
Federal IDR Cases Under the No Surprises Act
When a plan is self-funded ERISA, state IDR is preempted and the only procedural vehicle is federal IDR under the No Surprises Act. Eliott Dear cases on the federal side go through the CMS-certified IDR entity portal, with the QPA challenge as the central legal issue. The federal cases produce a high paper-determination rate but a low collection rate without follow-on enforcement. Every federal Eliott Dear case is filed knowing the collection profile is structurally weaker than state. For the analysis behind that calculation, see Eliott Dear: Federal IDR Is Handing Out Monopoly Money.
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 aggregate submitted-charge volume across the docket is in the eight-figure range. The aggregate awarded volume tracks closely with submitted charges on the state side; on the federal side, awards are larger as a percentage of charges but collection lags. The composition of the docket as it sits in early 2026 includes hundreds of open state IDR proceedings across four core physician practices, 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 and economic criteria for a successful filing. That is the discipline behind the win rate, and the discipline behind the docket only growing with 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.
Get started →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.