Emergency services make up more than half of all federal IDR disputes. If your group is out of network with major payers and not filing, you are leaving the largest single category of recoverable revenue on the table.
Emergency care is the core case the No Surprises Act was written for: patients can't choose their ER, so balance billing is banned and the payment dispute moves to the provider and plan. Emergency claims are high-volume, use a small set of E/M codes, and batch well — which is why over 630,000 emergency determinations were issued in the second half of 2025 alone.
Median emergency-service awards were 324% of QPA in Q3 2025 and 296% in Q4 2025 (CMS supplemental tables). For a group paid at QPA on thousands of 99283–99285 visits, that gap is material.
90 days of out-of-network remits, your payer list, and a signed authorization. We return a claim-level eligibility report and projected recovery within a week.
Free eligibility reviewSend us a sample of recent OON remits. We'll tell you which claims are IDR-eligible, what similar disputes have paid, and what we'd file. No fee unless we win you more.
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