Provider-side support for underpaid out-of-network claims, open negotiation, and IDR submission strategy.
ADR Virtual Arbitration works on the provider side to review underpaid out-of-network claims, prepare open negotiation positioning, and develop clear, winnable arbitration submissions for presentation to the certified No Surprises Act arbitrator.
Designed for clinics, physician groups, emergency providers, billing teams, and practice administrators.
The goal is simple: help providers pursue better reimbursement on eligible claims by organizing the dispute, preparing the file, and developing a reasonable position for open negotiation and IDR submission.
We review billed amounts, insurer payment, and claim facts to identify underpaid claims that may justify escalation.
We help structure the negotiation posture and prepare organized submissions before the matter moves to IDR.
We help present a stronger, cleaner file for the actual certified No Surprises Act arbitrator reviewing the dispute.
You send the claim information. We review the payment gap, help organize the dispute, and prepare the strongest possible presentation for the next stage.
Submit the billed amount, insurer payment, dates of service, and claim summary through the intake form.
We identify strong claims, analyze the reimbursement gap, and determine whether escalation appears worthwhile.
We help structure open negotiation and build the submission package with a clear, organized provider-side argument.
The matter proceeds with a stronger dispute file designed to support improved reimbursement outcomes.
Use this intake form to submit provider-side claim details for review. Include billed amount, insurer payment, claim volume, and a short summary of the reimbursement issue. Submissions are sent directly for review.