Cheapest on paper. Works when someone owns the deadline calendar and nothing else competes for their attention. It usually breaks at the four-business-day initiation window and at batch construction — both are unforgiving and neither is what a biller is trained for.
Appropriate when there's an actual legal dispute — an unpaid award, a coverage fight, a payer pattern worth litigating. Expensive per claim for routine filings, and IDR is mostly not a legal exercise: arbitrators weigh clinical and market evidence, not legal argument.
A vendor files everything end to end and takes a percentage of what it recovers. Aligned incentives, no upfront cost, and the vendor's economics push toward filing volume. Ask what happens to claims they decline, whether you keep the underlying data, and what the fee applies to — recovery above the original payment, or the whole award.
You license a tool and your team runs the process. Good if you have staff and want control; the work doesn't disappear, it just gets better instrumented. Subscription cost is fixed whether or not you win.
Your existing biller adds IDR as a line item. Convenient, and often shallow — IDR is a specialty within a specialty, and a generalist RCM shop rarely maintains determination benchmarks by payer and code.
Providers evaluating vendors usually also look at HaloMD and Pivotal Health. Both pages are factual comparisons, not attacks.
Send 90 days of out-of-network remits. We'll tell you which claims are IDR-eligible, what comparable disputes have paid, and what we'd file. No fee unless we win you more.
Start a 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.
Request a free eligibility review