For provider groups with out-of-network volume
Reclaim what insurers underpaid.
Insurers underpay your out-of-network claims. Federal IDR under the No Surprises Act recovers fair payment, but full-service vendors take up to 30% of it. Reclaim gives your team the software and specialists to run IDR in-house, and keep the rest.
The math stopped working.
Out-of-network payment keeps falling, and the one federal process built to win it back is designed to be hard to use.
Open negotiation
A fixed window runs before you may file at all.
30 daysThe filing window
Miss it and the dispute is gone for good.
4 daysThe vendor cut
What full-service IDR firms keep of your award.
up to 30%You built your practice. You should control your revenue.
Your team keeps control. Reclaim supplies the software, the market benchmarks, and the specialists on call.
Import
Load claims from a billing export. Reclaim fills in what is missing and starts the clock.
30 business daysto send the noticeOpen negotiation
Send the official Open Negotiation Notice on the DOL form, then run the negotiation window.
30 business daysnegotiation windowFile
Batch claims by payer and code group, then file to the federal IDR portal. You confirm before anything binding is submitted.
4 business daysto initiate IDRBrief and offer
Draft the written submission to the factors the IDR entity is permitted to weigh, and submit it with your offer.
10 business daysfrom selectionDetermination
Track the entity's payment determination through to the award landing in your account.
30 business daysto determinationEvery deadline, every email, one inbox. Business-day math on the federal calendar, and CMS and IDR-entity mail linked to the right dispute automatically.
From underpaid claim to award in your account.
One record per dispute, from the first underpayment to the award. No spreadsheets, no shared inbox.
Batching
Group claims by payer and code group so one filing fee covers many claims.
Deadline engine
Business-day math on the federal calendar, in Eastern time, on every claim and dispute.
Portal filing
The federal portal has no API. Reclaim drives it directly, after you confirm.
Brief writer
Drafts the written submission to the five factors the entity may weigh, section by section.
Eligibility screening
See which underpaid claims are worth disputing before you spend a filing fee.
Reporting
Recovery, win rate, and pipeline across your whole claim volume, by payer and site.
What groups are saying
Win rate and net collections have both climbed.
“We're control freaks about our RCM. Reclaim lets us run IDR internally with experts in the space behind us.”
The firm taking 25% wasn't doing rocket science.
“Once we learned the process, it was clear. With the right software, we run it ourselves.”
See what your underpaid claims are actually worth.
We'll show you exactly what Reclaim can recover for your claim volume. No sales pitch, just the numbers.
A contingency fee in line with standard RCM. We don’t get paid unless you do.
Book a demo