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IDR for care delivery organizations

Reclaim what you’re owed.

Providers and care delivery organizations 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, whether you deliver care yourself or run revenue cycle for those who do.

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Built for care delivery organizations

For finance, practice administration, and revenue-cycle teams managing recurring out-of-network volume, in-house or on behalf of clients.

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, incomplete, or ineligible.

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 what running IDR on Reclaim could save 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 contingency fee, based on ultimate outcome.

Savings at your volume

Change the recovery volume and savings assumption. The illustration does not estimate what your organization will recover or save.

Illustrative
Estimated annual savings
$3,750,000

Reclaim uses a contingency model, priced on ultimate outcome. The fee stays low because Reclaim's platform lets your team run the process yourselves.

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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.
We are an RCM company, or we work with one. Where does Reclaim fit?
Reclaim is the operating layer for whoever runs your IDR. Some clients run it with in-house teams; others have their RCM partner run it for them on Reclaim. RCM and billing companies also deploy Reclaim directly to power IDR for the groups they represent.
How is Reclaim priced?
Reclaim charges a contingency fee based on the ultimate outcome: you pay a share of what you actually recover. Because your team runs the process on Reclaim's platform, the fee stays well below full-service rates. We scope exact pricing during the demo.

Keep the IDR operation under your control.

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

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