EOBs at $0
Complex procedures reimbursed at pennies on the dollar—or nothing at all. The average out-of-network physician receives only 15% of billed charges.
$500B in Underpayments Annually—We Recover Your Share
Insurance companies systematically underpay out-of-network physicians. Through No Surprises Act IDR arbitration, we fight back—and win. Median award: ~4.5x the Qualifying Payment Amount. Zero upfront cost.
75%+
Provider Win Rate
$0
Upfront Cost
~4.5x
Median IDR Award vs QPA
Revenue Recovery Calculator
How Much Are You Owed?
Potential Annual Recovery
$1,020,000
Based on typical recovery outcomes
Every Month You Wait Is Revenue Lost Forever
65%
Denied Claims Never Appealed
Most physicians never challenge insurance denials. Every month without action means tens of thousands in permanently lost revenue.
100%
We Handle Collections Too
Many providers struggle to collect after winning IDR. We manage the entire post-decision process, pursuing every dollar awarded so you actually receive your payment.
4yr
Statute of Limitations
Federal and state deadlines limit how far back you can recover. Claims from 2022 are already approaching their filing window.
1.5 million+ IDR disputes were filed in 2024. Physicians across the country are taking action. Are you?
Start Recovering NowInsurance Companies Bank on Your Silence
They systematically underpay, knowing most physicians are too busy to fight back.
Endless Appeals
Hours wasted on hold, transferred between departments, still no resolution. Insurance companies profit from your lack of time.
QPA Manipulation
Insurers set artificially low Qualifying Payment Amounts using cherry-picked data, suppressing what they owe you by 40-70%.
Unknown Options
Most physicians don't know the No Surprises Act created a federal arbitration pathway to recover underpayments going back years.
Federal Law Is on Your Side
The No Surprises Act created a powerful tool for physicians to fight back.
Independent Dispute Resolution
Since 2022, the No Surprises Act provides a federally-mandated arbitration process that levels the playing field. Providers win 75%+ of disputes, with median awards ~4.5x the insurer's initial offer.
Combined with ERISA appeals for employer-sponsored plans, we use a dual-strategy approach to maximize your recovery across all claim types.
- Binding arbitration decided by neutral third parties
- Fair market rate determinations—not insurer QPAs
- No impact on your hospital relationships
- Recoveries from $100K to $6.4M+ per practice
- Both IDR and ERISA strategies available
85%
Average Underpayment Rate
Out-of-network physicians receive as little as 15% of billed rates. The No Surprises Act was designed to fix this—but only if you take action.
From Underpaid to Fairly Compensated
We handle the complexity while you focus on patient care.
1
Free Analysis
Send us your underpaid EOBs. We identify every recovery opportunity—at zero cost and zero obligation.
2
Case Building
Our experts prepare detailed documentation, fair market rate analyses, and legal filings.
3
IDR Filing
We file and manage the arbitration process, advocating for the full fair market value of your services.
4
Recovery + Collection
Upon success, we make sure payment is collected. We only win when you do—pure contingency.
Expertise That Delivers Results
Dedicated specialists with proven success in medical revenue recovery.
Regulatory Expertise
Deep knowledge of No Surprises Act, IDR arbitration process, and ERISA appeals with years of claims recovery experience.
Proven Track Record
Hundreds of cases handled. Recoveries ranging from $100K to $6.4M per practice.
Zero Upfront Cost
Pure contingency—you pay nothing unless we successfully recover funds for you.
Industry Knowledge
Deep understanding of medical billing, coding, and payer-specific underpayment patterns.
Full Collection
We don't just win arbitration—we make sure the insurer actually pays what was awarded.
White-Glove Service
Dedicated case manager from initial analysis through final payment. You focus on patients.
Physicians Who've Recovered Their Revenue
Real results from doctors who took action against underpayment. Individual results vary. Past performance does not guarantee future outcomes.
"I had written off years of underpaid claims as losses. Proprius Recovery went back through everything and recovered funds I never thought I'd see—professionally and efficiently."
Recovered $275,000 in 90 days
"As an emergency physician, I don't have time to fight insurance companies. They handled everything from EOB analysis to IDR filing—I barely lifted a finger."
Recovered $412,000 in ongoing claims
"The No Surprises Act was confusing to me. They made it simple and now I have a systematic process for all my out-of-network claims going forward."
Recovered $185,000 in first quarter
"Zero upfront cost sounded too good to be true. In three months, they recovered more than I'd lost in two years combined. The ROI is extraordinary."
Recovered $340,000 across 47 claims
*Results shown are illustrative and based on representative case outcomes. Individual recovery amounts vary based on claim type, payer, state, and other factors. Past performance does not guarantee future results. These testimonials reflect individual experiences and are not indicative of all client outcomes.
The Experts Behind Your Recovery
Decades of combined experience in medical billing, revenue cycle management, and claims recovery.
AD
Alex Dokukin
Founder & CEO
15+ years in healthcare revenue management. Expert in No Surprises Act regulations and provider advocacy.
Healthcare Revenue
NSA Expert
CA
Claims & Arbitration Team
IDR & ERISA Specialists
Experienced professionals specializing in IDR dispute filing, ERISA appeals preparation, and payer negotiations. We work with outside counsel as needed.
IDR Filing
ERISA Appeals
Payer Negotiation
RC
Revenue Analysts
Medical Billing & Coding Experts
Certified medical coders and billing specialists who identify every underpayment pattern across your claims.
CPC Certified
AAPC
Questions? We Have Answers.
Everything you need to know about recovering your revenue.
Most out-of-network claims for emergency services, hospital-based procedures, and services where patients didn't have the opportunity to choose an in-network provider qualify under the No Surprises Act. This includes anesthesiology, radiology, pathology, emergency medicine, and surgical services.
The typical IDR timeline is 60-120 days from filing to decision. Our average across all cases is 90 days. We begin identifying recovery opportunities within the first week of receiving your EOBs.
You'll need to provide your underpaid EOBs (Explanation of Benefits), original claims, and basic procedure information. Our team handles all the legal preparation, fair market rate analysis, and filing from there.
No. The No Surprises Act arbitration process is between you (the provider) and the insurance company. It has no bearing on your hospital privileges, contracts, or relationships. Hospitals often benefit as well.
We work on a pure contingency basis—there are no upfront costs, no retainers, and no fees unless we successfully recover funds for you. Our interests are fully aligned with yours.
IDR (Independent Dispute Resolution) is the federal arbitration process under the No Surprises Act for out-of-network payment disputes. ERISA appeals target employer-sponsored health plans and can recover underpayments through a different legal framework. We use both strategies to maximize your total recovery. Learn more →
Because we work on a pure contingency basis, you owe nothing if we don't recover funds. If an IDR decision is unfavorable, we analyze whether alternative strategies (such as ERISA appeals or state-level remedies) may apply. Providers win the majority of IDR disputes, and our case selection process focuses on claims with the strongest recovery potential.
The No Surprises Act took effect January 1, 2022, so IDR disputes can address claims from that date forward. For ERISA appeals, the lookback period can extend further. The sooner you act, the more you can recover before statute of limitations deadlines pass.
California Focus
Serving Physicians Across the Golden State
California physicians benefit from some of the nation's strongest provider protections. Combined with federal No Surprises Act provisions and California's AB-72 law, you have strong options for fair compensation recovery.
Our team has extensive experience working with California-specific regulations, insurance markets, and healthcare systems.
Los Angeles
San Francisco
San Diego
Sacramento
San Jose
Fresno
Oakland
Irvine
Expert Insights on Medical Revenue Recovery
Stay informed with the latest strategies for fighting insurance underpayments.
The Complete Guide to No Surprises Act Arbitration for Physicians (2026)
Everything you need to know about the IDR process: how it works, timelines, costs, and win rates.
Read Article →How Much Can Your Practice Recover? Revenue Recovery Calculator
ROI analysis by specialty with real case studies showing recoveries from $100K to $6.4M.
Read Article →7 Tactics Insurance Companies Use to Underpay Physicians
QPA manipulation, delay tactics, and denial patterns—and exactly how to fight back.
Read Article →
Take Action Now
Every Month of Delay Is Revenue Lost Forever
Don't let insurance companies keep what you've rightfully earned. Start your free analysis today.
Claims from 2022 are approaching filing deadlines — act now to protect your recovery rights
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