Physician meeting with a practice administrator at a desk

Maximizing recovery on out-of-network claims.

We help healthcare providers navigate the federal Independent Dispute Resolution process.

Request a free claims review Who we serve

What we do

We handle the entire IDR process for your out-of-network claims, start to finish.

We find claims the insurer underpaid
We negotiate with the insurer
We file and argue the case
We collect the payment

Your billing process stays the same.

85%

Of federal IDR disputes decided in favor of providers in 2025.

CMS data, analyzed by Georgetown University CHIR

2.6M

Federal disputes filed by providers in 2025, far more than regulators originally projected.

CMS data, analyzed by Georgetown University CHIR

We win when you win. No upfront cost. We absorb all costs of arbitration and only take a fee from what we recover.

United IDR Solutions

Fair pay for the care you provide.

Insurers don’t always pay out-of-network providers what their care is worth. The No Surprises Act gives providers a legal path to dispute those payments.

We pursue eligible claims and work to make sure you are paid fairly for your care.

Our goal is simple

You provide the patient care. We pursue the additional reimbursement that may otherwise be left on the table.

What is the No Surprises Act?

Medical bills and a calculator on a desk

Sarah did everything right. Before her knee surgery, she called her insurance company to confirm the hospital was in network. Then she checked her surgeon. Both were covered.

The surgery went perfectly. Three weeks later, an envelope arrived. Inside was a $5,000 bill from the anesthesiologist, a doctor she met for two minutes right before she went under. He was out of network, and nobody had told her.

Patients across the country were getting bills like Sarah’s. In 2020, Congress passed the No Surprises Act to end them. Since 2022, patients like Sarah pay only their normal in-network share.

That left one question: who pays the rest? The answer is the insurer. And when the insurer pays too little, the law gives providers a way to dispute it.

Dec 2020Signed into law

Jan 2022Takes effect nationwide

Questions

Short answers to what practices ask most.

Does this affect my patients?

No. The patient's share is fixed at their in-network amount before any dispute begins. The dispute is only between the provider and the plan.

Which claims qualify?

Emergency care, care by out-of-network providers at in-network hospitals, outpatient departments, critical access hospitals and surgery centers, and air ambulance. Commercial coverage only. Medicare, Medicaid, and Medicare Advantage are excluded.

How do your fees work?

Nothing upfront. We absorb all costs of arbitration, and our fee comes only from what we recover above the insurer’s initial payment. The terms are set in a written agreement.

How long does it take?

IDR is a deadline driven process that begins shortly after the insurer’s initial payment or denial. We track every deadline for you. Actual timing varies depending on the claim, insurer and IDR entity.

What can we recover?

The insurer’s initial payment does not necessarily determine the ultimate reimbursement. Through IDR, providers may be able to recover additional reimbursement above the amount originally paid by the insurer. Results vary by claim, and no particular recovery is guaranteed.

Can you work on older claims?

Only claims still inside their deadlines. The free review shows which windows are open and which have closed.

Do you replace our billing company?

No. We work alongside your billing team, using the remittances they already receive.

What do you need from us?

Getting started is simple. We generally need claims and remittance data, EOBs or ERAs showing the insurer’s payment, basic information regarding the service provided, and authorization to manage the IDR process on your behalf. We review the data to identify claims that may qualify and determine which claims are worth pursuing.

Find out what your out-of-network claims could be worth

We can review your existing claims data to identify potential IDR opportunities and estimate the additional reimbursement that may be recoverable.

We sign a Business Associate Agreement
You share remittance files
We send a written report of eligible claims, open deadlines, and estimated recovery

Call us at (646) 363-6626Email us at info@unitedidrsolutions.comHIPAA compliant. We sign a Business Associate Agreement before any data is shared.