Services

Full-service RCM, with out-of-network at the core.

Negotiation first. IDR when payers won't move. And the rest of your billing, if you want it.

Out-of-network negotiation

Out-of-network payments are whatever the payer decides is reasonable. We check every one against payer data and negotiate up when it's low.

  • Review of every out-of-network payment
  • Open negotiation with a specific, evidence-backed number
  • Most claims settle here — no arbitration needed

Independent Dispute Resolution (IDR)

When negotiation doesn't reach a fair number, we take the claim to federal arbitration under the No Surprises Act. We've worked IDR since it took effect in 2022.

  • Eligibility review and case strategy
  • All filings, documentation, and deadlines
  • Federal and state processes

Full-cycle RCM

The same team can run the rest of your revenue cycle.

  • Commercial (in-network and out-of-network), Medicare, and Medicare Advantage
  • Coding review and charge entry
  • Claim submission, denials, and appeals
  • Payment posting and A/R follow-up

How practices start

Most start with out-of-network and keep their current biller for everything else. Others hand us the whole revenue cycle. Either works.

FAQ

Common questions

Will this affect our patients?

No. Under the No Surprises Act, patients are protected from balance billing. Disputes are between us and the payer — your patients are never billed for the difference.

Do we have to switch billing companies?

No. We can handle out-of-network negotiation and IDR only, and your current billing company keeps everything else. If you want, we can also run your full revenue cycle.

What is IDR, and when do you use it?

Every underpaid claim starts with open negotiation: we present payer data and ask for a fair rate. If the payer won't move, we file for Independent Dispute Resolution — the federal arbitration process created by the No Surprises Act.

How do you get paid?

On contingency. We're paid a percentage of what we recover. If we don't recover anything, you don't pay.

Is our data safe? Will you sign a BAA?

Yes. We sign a BAA before you send anything, use a secure upload link, and use your data only to work your claims.

What do we send for the assessment?

3 to 5 out-of-network EOBs or remittance advices — ideally your higher-dollar commercial claims. We'll email you a secure upload link.

What specialties do you work with?

Orthopaedics, anesthesia, neuromonitoring, assistant surgeons, emergency medicine, radiology, labs and ancillary services, and ambulatory surgery centers. We also partner with billing companies.

How long until we see results?

Results can come in as little as 30 days through negotiation. Claims that go to IDR take longer, since they follow the federal arbitration timeline.

See what your claims were actually worth.

Send us 3-5 out-of-network EOBs. We'll show you, claim by claim, what's recoverable — free, in three business days.

Get a free claims assessment