NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
One ASC cut aged A/R from $4.55M to $0.76M in nine months →
SOC 2 Type 2 · HIPAA · BHCOE · CASP
Plutus Health provides IDR arbitration services to help healthcare providers pursue fair out-of-network reimbursement under the No Surprises Act. Our IDR specialists and OlympusAI combine dispute eligibility reviews, QPA analysis, negotiation strategy, and arbitration case preparation to identify and pursue reimbursement opportunities.
Get Your Free RCM Assessment →Every dispute follows a structured recovery strategy, from eligibility review through arbitration and reimbursement
Identify claims eligible under federal or state No Surprises Act regulations before valuable filing windows expire.
Compare payer reimbursement against QPA methodology, historical payment patterns, and expected reimbursement to identify underpayments worth pursuing.
Develop payer-specific negotiation strategies supported by reimbursement analytics, historical settlements, and market benchmarks.
Build complete arbitration packages including clinical documentation, payment history, QPA validation, comparable reimbursement data, and supporting evidence.
Manage the complete arbitration process while ensuring every regulatory deadline, compliance requirement, and filing obligation is satisfied.
Track arbitration outcomes, payer performance, reimbursement recovery, and future dispute opportunities through executive reporting.
Winning arbitrations requires selecting the right disputes to invest time and resources in
OlympusAI evaluates every eligible dispute using payer history, QPA variance, specialty, geography, reimbursement trends, and historical arbitration outcomes to prioritize cases with the highest recovery potential.
AI assembles payment history, comparable reimbursement data, clinical documentation, arbitration evidence, and supporting records into complete, arbitration-ready case files.
Experienced reimbursement analysts, IDR specialists, compliance professionals, and legal experts validate every recommendation before negotiation or arbitration begins.
Our IDR operating model combines intelligent automation with experienced specialists to improve reimbursement while reducing administrative burden
Eligible underpayments are continuously identified, prioritized, and scored based on financial value and arbitration potential.
Dedicated specialists prepare documentation, coordinate negotiations, manage submissions, and maintain regulatory compliance throughout the dispute lifecycle.
Settlement outcomes, arbitration decisions, payer behavior, and reimbursement performance continuously improve future dispute strategy.
Successful IDR recovery depends on disciplined execution, regulatory compliance, and consistent operating workflows. Every arbitration follows the same standardized operating model, supported by OlympusAI and experienced IDR specialists.
Then we run the model:
We don't simply file IDR disputes. We engineer stronger reimbursement outcomes.
Many providers leave significant reimbursement unclaimed simply because eligible disputes are never filed. We'll identify recoverable NSA claims, estimate reimbursement opportunity, evaluate arbitration readiness, and build a recovery strategy tailored to your organization.
