No Surprise Act IDR Specialists

We Help Air Ambulance ProvidersWin Better IDR Outcomes

Recover more from out-of-network flights with a dedicated IDR partner focused solely on maximizing your reimbursement—on contingency, no risk.

89%
Win Rate
vs 35% industry avg.
40 Days
Avg. Resolution
Start to payment

Understanding Out-of-Network Air Ambulance Claims Under the No Surprise Act

The No Surprise Act (NSA), effective January 1, 2022, fundamentally changed how out-of-network air ambulance claims are handled. Air ambulance services are almost always out-of-network, and while the NSA protects patients from surprise bills, it creates complex payment disputes between providers and insurers. When you disagree with an insurer's payment offer on out-of-network claims, the Independent Dispute Resolution (IDR) process is your only recourse to recover fair reimbursement.

What Is IDR?

A federal arbitration process where an independent entity reviews both parties evidence and selects the fair payment amount. Winner takes all—no compromise.

Why It Matters

Insurers routinely lowball out-of-network air ambulance claims, knowing most providers lack expertise to fight back. Without expert IDR representation, you will accept their offer and lose 50-70% of fair reimbursement.

The Stakes

Average out-of-network air ambulance claim: $50,000. Average insurer offer: $20,000. IDR recovery with experts: $45,000+. That is $25,000+ per claim you are leaving on the table.

Our Expertise

We specialize exclusively in air ambulance IDR cases under the No Surprise Act. Our focused expertise delivers an 89% win rate—2.5x the industry average.

Why We Win More

Why IDR Advantage Beats Internal Teams & General RCM Firms

Your billing staff and general RCM companies lack the specialized expertise to win high-stakes IDR arbitrations

Internal/General RCM Teams

No IDR Specialization

They handle hundreds of billing tasks. IDR is just one more checkbox—not their core competency.

Weak Evidence Compilation

Generic submissions without air ambulance-specific market data, flight operations costs, quality of care metrics, or regulatory expertise.

Low Win Rates

Industry average: 35% win rate. They are gambling with your revenue and losing 65% of the time.

Conflicting Priorities

Buried under appeals, denials, and collections. IDR cases get minimal attention until deadlines loom.

Fixed Cost Regardless of Outcome

You pay them whether they win or lose. No incentive alignment.

IDR Advantage

100% IDR-Focused Experts

We ONLY do No Surprise Act IDR for air ambulance. This is our entire business. 500+ cases deep.

Air Ambulance Market Intelligence

Proprietary database of QPA benchmarks, historical IDR outcomes, and air ambulance cost structures that crush insurer arguments.

89% Win Rate

2.5x higher than generalists. We know exactly what IDR entities look for and how to present winning cases.

White-Glove Service

Every case gets senior expert review. We handle 100% of submissions, evidence, and compliance—zero burden on your team.

100% Contingency Fee

We only get paid when we recover MORE than the initial offer. Our success is your success. Zero risk.

Real Talk: Why Specialized Expertise Matters

IDR arbitrations are adversarial legal proceedings. Insurers hire specialized law firms and consultants who have done thousands of these cases. They know every loophole, every strategy, and every way to manipulate the Qualifying Payment Amount (QPA) and other NSA provisions.

Your billing team—no matter how good—cannot compete with that firepower. They are bringing a knife to a gunfight. General RCM firms are barely better: they spread thin across every specialty and payer type, with no deep expertise in air ambulance economics or NSA case law.

We have built our entire firm around one thing: beating insurers at IDR for air ambulance claims. That focus is why we win 89% of cases while everyone else struggles at 35%.

Calculate Your Lost Revenue

See exactly how much you are leaving on the table with poor IDR performance

IDR WIN RATE CALCULATOR

See the Impact of Expert IDR

Calculate how much revenue you are leaving on the table

20disputes/month
$50,000per claim

Industry Average

Typical IDR performance

+65%
Monthly Recovery$195,000
Annual Recovery$2,340,000
Avg. Payment$24,750

Expert Performance

With IDR Advantage

+89%
Monthly Recovery$267,000
Annual Recovery$3,204,000
Avg. Payment$28,350

Additional Annual Recovery

$864,000

Do not leave this money on the table. Our contingency model means you only pay when we recover more.

Calculation assumes: QPA represents 30% of your billed charges. Industry average: 65% over QPA. IDR Advantage performance: 89% over QPA (our proven track record). Actual results vary by case specifics and documentation quality.

How We Work

Simple process. Expert execution. Maximum recovery.

01

Free Case Review

Send us your underpaid claims. We analyze recovery potential and provide detailed assessment within 24 hours—completely free.

02

We Handle Everything

From evidence compilation to IDR submission and arbitration management. You provide basic case info. We do the rest.

03

You Get Paid More

We win the arbitration. You receive the higher payment. We take a percentage of the additional recovery. Everyone wins.

Stop Accepting Lowball Offers

Every underpaid out-of-network claim you accept is revenue you will never recover. Get expert help—on contingency—and start winning IDR cases.

No obligations • No upfront cost • 24-hour response • Fully confidential