Our Process

1
2
3
4

Send us
your data

Tell us who is
out of network

Collaboratively develop
arbitration strategy

We do the rest

How have we done?

Top 10

Initiator of
Federal NSA
disputes


75x

Average increase in
reimbursements
through IDR Process


3 weeks

from sign-up to
implementation


50%

price savings using
our NSA support tool
vs internally
developed process


16%

higher win rate
than competitors

The detail

Our system automates the dispute process under the No Surprises Act,
ensuring maximum reimbursement with minimal effort from you.

You send us your remit and billing data

We use that to determine qualified payment amounts, first payment dates, and eligibility.

We send open negotiation notices (ONNs) to payers

These emails or mailed letters are sent from your address and show your information.

You negotiate single case agreements with payers

Payers will reach out directly to you since your information is on all ONNs. We can accommodate this negotiation as well if you’d like.

We create arbitration offers and supporting documents based on collaboratively designed templates

These templates can be deeply customized based on market or clinical needs. We can also pay invoices on your behalf, to confirm that we do not default on any disputes.

We track all outcomes and transparently report on your performance

Payers will reach out directly to you since your information is on all ONNs. We can accommodate this negotiation as well if you'd like.

We can partner to negotiate in-network rates

Our market expertise and proprietary datasets, plus solid NSA win rates, give us an advantage during negotiations.