Allia Group leverages a suite of legal solutions in complex revenue recovery environments. IDR is one of several strategies used to secure fair payment for healthcare providers.
The No Surprises Act’s IDR process establishes a repeatable, consistent pathway for out-of-network providers to dispute underpayments through certified arbitrators called IDR entities. IDR operates under complex regulations – therefore, it demands legal precision at every stage.
Allia Group has the expertise to maximize recovery in IDR. Our full-service, end-to-end management for independent physicians, hospitals, and health systems:
Additional payments through IDR can typically be achieved in less than 6 months. Hover over each point on the timeline to explore the process.
Allia supports providers before, during, and after the IDR process.
Analysis: Allia Group analyzes your claims data to identify IDR eligibility, assess recovery value, and determine whether federal or state IDR applies.
Case Strategy: Each eligible claim gets assigned a case strategy including whether to batch.
Open Negotiation: Allia Group leverages its legal and data-driven arguments to achieve favorable resolution.
Bid Process: We provide the necessary guardrails to achieve winning offers based on game-theory, AI, payer behavior, and other factors.
Award Enforcement: Payers have 30 calendar days after a final determination to remit payment. Allia Group aggressively pursues enforcement measures.
Winning consistently in IDR is a full-time operation. Allia Group’s IDR experts work with physician groups, hospitals, and healthcare systems to identify recoverable revenue, manage disputes through resolution, and enforce awards.
Contact us for a confidential review of your underpaid claims.
