Billions in Physician Underpayments—We Recover Your Share

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 statutory clock is the part you can rely on: 30 business days of open negotiation, then a 4-business-day window to initiate, then the certified IDR entity has 30 business days from selection to make its determination. In practice, expect a few months from first review to decision. We begin identifying recovery opportunities in the first week after we receive your EOBs, and we tell you the realistic timeline for your specific claims rather than an average that may not describe them.

You'll need to provide your underpaid EOBs (Explanation of Benefits), original claims, and basic procedure information. We handle the eligibility review, the fair market rate analysis and the filing from there. Federal IDR is an administrative process conducted through the Departments' portal, not litigation, and we are not a law firm.

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 contingency: no upfront cost, no retainer, and no fee unless we recover funds for you. The fee is a percentage of what is actually recovered, and that percentage is stated in writing in your engagement agreement before a single claim is filed — you will never be asked to guess at it. Separately, the federal process itself carries fees the Departments set, not us: a $15 administrative fee per party per dispute (reduced from $115 for disputes initiated on or after June 11, 2026) and the certified IDR entity's fee, which the non-prevailing party pays. We walk through exactly who pays what before you sign anything.

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. In 2025 the provider side prevailed in about 85% of the disputes that reached a payment determination — though roughly 19% of initiated disputes were found ineligible and never reached one, which is why our case selection starts with eligibility rather than with 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. Deadlines run from each payment or denial rather than from a single cut-off, so the claims at risk are the ones where that clock has already started.