From identifying eligible claims to collecting the award, we run the whole process so your billing team doesn't have to become arbitration specialists.
We review your out-of-network remittances, apply the federal and state eligibility rules, and produce a claim-level list of what can be disputed, what should be batched, and what isn't worth filing. Ineligible disputes were 42% of challenges in late 2025 — filing them wastes fees and clogs your queue.
Every eligible claim gets a compliant open negotiation notice within the 30-day window. Where payers negotiate in good faith, we settle at a number supported by determination data and avoid IDR fees entirely.
Disputes are initiated in the 4-business-day window after open negotiation ends, batched under current rules, and filed through the federal portal with the required documentation. We manage IDR entity selection and objections, eligibility responses, and administrative and entity fees.
The arbiter picks one of two offers. We build yours from actual award data for the same codes, specialty, and market, and support it with the factors arbiters weight: provider training and experience, case complexity, market share, prior contracted rates, and good-faith negotiation.
Payers owe payment within 30 days of a determination and frequently miss it. We track every award to cash, escalate late payments, and file CMS complaints when needed.
Monthly reporting by payer, specialty, and code: filed, settled, decided, won, and collected — with award-to-QPA ratios so you can see exactly what IDR is adding.
Emergency medicine groups, anesthesia practices, radiology groups, surgeons and surgical assistants, neuromonitoring companies, air ambulance operators, and billing companies that want an IDR desk without building one.
We work with independent groups, hospital-based groups, and RCM firms nationally.
Start with a free eligibility reviewContingency on the increase we recover over the payer's initial payment. No retainer, no per-claim charge. Portal and IDR entity fees are pass-through and disclosed in advance.
Billing companies: white-label and revenue-share arrangements available.
Send 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