IDR for provider organizations

Reclaim what you’re owed.

Providers have been squeezed for years: reimbursement rates down, costs up. The No Surprises Act opened a path to fair payment. Reclaim gives your team the software and expert support to pursue it, for a fraction of what full-service vendors charge.

Built for provider organizations

For finance, practice administration, and revenue-cycle teams managing recurring out-of-network volume.

One record, start to finish

Claims, notices, filings, emails, documents, fees, and determinations stay connected.

Software plus specialist support

Automate the repeatable work and bring in an IDR specialist for judgment calls.

See the work before the call.

Reclaim turns federal IDR into an operating queue your team can see, control, and improve. Choose a stage to explore the product.

Know which claims are ready, blocked, or not worth filing.

Import a claims export and see the next action on every record. Reclaim separates missing information from timing windows and filing readiness.

  • Readiness checks on every claim
  • One action queue sorted by urgency
  • Eligibility and deadline logic on the record

A percentage point gets expensive at scale.

Full-service IDR vendors can take up to 30% of the recovery. Move the controls to see the cost of a percentage-based fee at your volume.

ControlYour team approves every binding action.
VisibilityStatus and supporting evidence live in your workspace.
SupportSpecialists step in for exceptions and judgment calls.
PricingA modest contingency fee, scoped to your volume.

Cost of a full-service fee

Change the recovery volume and fee percentage. The illustration does not estimate what your organization will recover.

Illustrative
Fee paid
$250,000
Recovery retained after fee
$750,000

Reclaim uses a modest contingency model. We will price your actual volume and operating model during the demo.

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Your RCM team stays in charge.

Reclaim handles repeatable workflow and keeps judgment with the people accountable for the revenue.

01

Nothing binding happens invisibly.

Your team reviews the filing package and confirms before Reclaim proceeds with a binding portal action.

02

Every artifact stays attached.

Notices, documents, emails, deadlines, fees, and lifecycle events remain linked to the claim or dispute.

03

Specialists are available for the hard calls.

Your team gets product support and IDR expertise without handing the entire recovery operation to a vendor.

04

The queue tells your team what to do next.

Actionable work is separated from waiting states, with the next deadline and missing information visible.

What provider groups are saying.

“For years, our in-network rates didn’t reflect the value our anesthesiologists were delivering. We dipped our toe into IDR on our own, but found managing the entire process ourselves too onerous. We’re control freaks, however, and like to have full visibility into our RCM. That’s when we found Reclaim, which lets us run IDR internally with support from experts in the space. Our win rate and net collections have both climbed since.”

Founding Partner Leading anesthesia practice in Arizona

“We started participating in IDR and learning the process ourselves, and that’s when we realized the outsourced billing firm taking 25% of our incremental collections wasn’t performing any rocket science. With the right software, we could run our own dispute resolution process. That’s what Reclaim has given us, along with accessible experts on the occasions we do have issues or questions.”

Practice Administrator Independent anesthesia group in Utah

The questions provider teams ask first.

Who is Reclaim built for?
Provider groups and health systems with recurring out-of-network claim volume, especially finance, practice administration, and revenue-cycle teams that want more control over federal IDR.
Do we need an IDR team on staff?
No. Reclaim gives your existing team the workflow, documents, deadlines, and specialist support to operate IDR without building a large internal department.
What does the platform cover?
Claims intake, readiness screening, open negotiation, batching, federal portal filing, written submissions, lifecycle email, deadlines, fees, and determinations.
Who submits to the federal portal?
Reclaim prepares and drives the portal workflow. Your team reviews the package and confirms before a binding submission proceeds.
How does claim data get into Reclaim?
You can start with a claims export. During the demo, we will show the required fields and how Reclaim fits alongside your current billing and RCM systems.
How is Reclaim priced?
Reclaim charges a modest contingency fee. We scope pricing to your claim volume and operating model during the demo.

Bring the IDR operation back under your control.

We’ll map Reclaim to your current process and show where your team can keep control, cut manual work, and retain more of every recovery.

Book a demo