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NO SURPRISES ACT · INDEPENDENT DISPUTE RESOLUTION
Payer underpaid an out-of-network claim? We run open negotiation, file IDR inside the 4-day window, build the final offer and follow the award until it's paid.
Full billing or IDR only · Legal partners for escalation · (973) 607-4406
IDR awards won for clients · 2025
$90M+
Payments received through IDR · 2025
$40M+
Specialties with IDR awards
14
Surgical, procedural and emergency
Why the gap matters
An award is not a payment. We keep following up with payers until every award is paid.
WATCH · 1:36
A short walkthrough from the team that files and follows up on your IDR claims.
Watch the video30-SECOND CHECK
Four questions. If the answer is yes, the clock is already running.
Not sure about an answer?
Send us the EOB. We'll screen it for eligibility before any deadline passes.
A quick screen, not a legal determination. Some state-regulated plans use a state dispute process instead of federal IDR.
INSIDE OUR IDR WORKFLOW
What happens to your claim once it's with us.
01 · DEADLINES
Each claim is tracked against its own deadlines and worked by days remaining, not by date received.
02 · THE CASE
The entity picks one offer, yours or the payer's. We make yours the one that's easier to defend.
03 · COLLECTION
Payers have 30 calendar days to pay an award. We track every one, chase the late ones, and escalate to legal partners when a payer won't pay.
Have unpaid awards? Talk to usWHAT WE HANDLE
IDR is won on deadlines and documentation. Here's where practices usually lose it.
PROVEN ACROSS SPECIALTIES
High-value, out-of-network procedures are where payers underpay most, and where IDR pays off.
Don't see yours? Ask usRULE UPDATE · NOVEMBER 2026
The federal IDR Operations rule now applies to new disputes.
CMS finalized it in May 2026. Its revised batching rules apply to disputes whose open negotiation starts on or after November 1, 2026. We've updated how we group and file claims.
Or call (973) 607-4406
BOOK ONLINE
Book an IDR consultation with our team
Pick a time that suits you. Bring a recent out-of-network EOB and we'll tell you whether it qualifies for IDR.
Prefer the phone? (973) 607-4406
