Stop Leaving Money On The Table — Recover Up To 10x More On Every Underpaid Insurance Claim
... While You Focus On Your Patients.

We start with a one-time integration into your billing workflow so that eligible underpaid claims are automatically identified and routed to our team each month. From there, we take over completely — preparing every filing, tracking every deadline, and managing the full arbitration process through resolution. Insurance carriers pay you directly, and our fee is only collected after you receive payment. Your staff doesn't need to lift a finger after the initial setup.

We work on a pure contingency basis — 20% of the additional amount we recover on your behalf. If we don't win, you owe nothing. Our fee applies only to the incremental recovery above what the insurer originally paid. Because we consistently recover more per case than most other firms, providers typically net more working with us even after our fee than they would pursuing smaller percentages elsewhere.

None whatsoever. We advance all costs associated with the process — filing fees, arbitration fees, administrative expenses — everything. You don't write a single check until the insurance company has already paid you. Our incentives are completely aligned with yours.

Under federal law, providers generally have 30 days from the date of the insurer's initial payment to initiate the arbitration process. Missing this window — even by a day — typically forfeits your right to challenge that claim. That's why speed and precision matter. Our team tracks every deadline so nothing slips through.

For most federally governed claims, once the 30-day window closes, those specific claims cannot be recovered. However, certain states have enacted their own laws with extended filing periods — some allowing up to several years. We'll review your situation and identify any state-level pathways that may still be open. More importantly, we'll make sure every future claim is captured on time.

We maintain a 90%+ win rate across our arbitration caseload. That's the result of years of refining our approach — understanding how arbitrators evaluate arguments, knowing which documentation strengthens a case, and filing with a level of precision that most providers simply can't replicate in-house.

The sweet spot is out-of-network emergency services and on-call surgical work where the patient had no meaningful choice of provider. This includes inadvertent OON situations — for example, a surgeon operating at an in-network facility where the patient didn't select them directly. Claims must involve a commercial insurance payment (Medicare, Medicaid, and TRICARE are excluded), and the recoverable amount should generally exceed $3,000 to be worth pursuing through arbitration.

Very little. You'll sign a Business Associate Agreement (BAA) and a Contingency Fee Agreement (CFA) — both straightforward documents. Then, for each claim, we need three items: the claim form, the Explanation of Benefits (EOB), and the operative report. The initial setup takes roughly 10 minutes. After that, new claims flow to us automatically. Your team's ongoing involvement is minimal.

Not at all. This dispute is strictly between your practice, the insurance carrier, and our team. Patients are not contacted, billed, or involved in any part of the process. The recovery comes entirely from the insurer — not from patient balances.

No — we complement your existing billing operations rather than replace them. Most billing companies handle claim submission and standard follow-up, but they typically stop short of arbitration because it requires specialized legal and procedural expertise. We step in at exactly that point. Your billing team keeps doing what they do; we handle the recovery layer they can't.

You owe us nothing. We absorb all costs — filing fees, arbitrator fees, preparation time — on every case we take. If we don't recover money for you, we don't get paid. That's the only arrangement we're willing to offer, because it ensures we only pursue cases we genuinely believe in.

Yes. You can terminate the engagement at any time with no penalties. Cases already in arbitration will continue through to resolution so you still receive those awards. New case submissions simply stop. We don't believe in locking providers into arrangements that aren't working — this relationship only makes sense if it's delivering real value for your practice.

Yes. Our recovery process is backed by a dedicated legal team with deep experience in insurance arbitration and healthcare payment disputes. Attorneys review and draft every arbitration brief we submit. When carriers resist payment or attempt to delay, our legal team escalates accordingly.

The first wave of payments typically arrives 4 to 6 months after initial filing, though some cases take up to 9 months depending on the payer and arbitration schedule. The key insight is that once you're enrolled, you're filing new cases every month — so after the initial ramp-up period, recoveries can begin arriving on a rolling basis. For many practices, this becomes a reliable secondary revenue stream.

Three things set us apart: scale, precision, and alignment. We're one of the largest OON arbitration filers in the country, which means we have deep insight into how different payers and arbitrators operate. We file with a level of documentation and legal rigor that smaller firms can't match. And because we work on pure contingency, our interests are completely aligned with yours — we only succeed when you do.

After your initial assessment call, we'll set up a secure, HIPAA-compliant connection to your billing system. New eligible claims are automatically identified and transmitted to us each month — no manual uploads, no spreadsheets, no extra work for your staff. Everything is encrypted and fully compliant.

Absolutely. Every client gets access to a reporting dashboard showing the real-time status of every claim in the pipeline — filed, in arbitration, awarded, and paid. You'll always know exactly where your money stands and what's coming.

Very likely, yes. Any provider who delivers out-of-network emergency or on-call services — anesthesiologists, ER physicians, IONM providers, radiologists, and others — may have qualifying claims. The key factor is whether you treated patients who had no meaningful choice in selecting you as an out-of-network provider. Book a free assessment and we'll tell you exactly what qualifies.

Absolutely — and billing managers are often the ones who see the underpayments most clearly. We work directly with billing teams and practice administrators to implement the program with minimal disruption. If you're the one who identifies this opportunity for your practice, we'll make sure the process is smooth for everyone involved.

Yes, and it's a natural fit. RCM companies handle the front-end billing cycle; we handle the arbitration layer that comes after. Many billing firms partner with us to offer their clients a more complete revenue recovery solution — and to participate in the recoveries we generate. It's an additive relationship with no overlap.

We work with all of them. For medical associations, we can structure arrangements that benefit both the organization and its member providers. For IONM companies, we recover on underpaid neuromonitoring claims nationwide. For inadvertent providers — anesthesiologists, ER physicians, and others who end up out-of-network without the patient's choice — this is exactly the type of work we specialize in.

Yes. We have dedicated teams built specifically for high-volume institutional clients. We process thousands of arbitration cases monthly and have the infrastructure to scale with your organization's needs. Large facility groups are a core part of our business, and we have experience managing the complexity that comes with that scale.

Yes, and we appreciate it. We have a referral program for providers who connect us with other qualifying practices. If you know physicians, billing managers, or practice owners who are leaving money on the table, we'd welcome the introduction. Reach out and we'll walk you through how the program works.