Emergency medicine
Another disputed payment. Another task for an already stretched billing team.
See how we helpFOR HEALTHCARE PROVIDERS
Your care has value.Give every claim
a closer look.
PosiMed helps independent practices pursue additional reimbursement through the No Surprises Act IDR process. We work with your existing biller, manage eligible payment disputes, and keep your team informed.
IDR Recovery Solutions
Clarity at every step.✓
FOCUSED ON THE CLAIM. ALIGNED WITH YOUR TEAM.A disciplined recovery workflowFrom eligibility review to payment tracking
We know their playbook.
Federal IDR dispute shares · Q4 2025
- 24%
- 18%
- 14%
56%
of all federal IDR disputes initiated for out-of-network emergency and non-emergency services.1
Our team brings extensive experience in negotiation and dispute resolution across the healthcare and legal sectors, applying that background to IDR disputes with a practical understanding of how to pursue additional reimbursement for providers.
A STARTING POINT. NOT THE WHOLE STORY.
The first payment doesn’t have to be the final word.
You delivered the care. The insurer told you what it's worth. If that payment falls short, your practice shouldn’t have to choose between accepting it and taking on another administrative burden. PosiMed handles the process for you, from eligibility to reimbursement.
- 01
Their starting point
93%
Initial payment plus patient responsibility matched the qualifying payment amount (QPA) in 93% of analyzed federal IDR line items.
Our calculation from CMS Q3 2025 public data.2
- 02
The median award
398%
The median prevailing offer for radiology services is 398% of QPA.3
Median prevailing offers also exceeded QPA across other specialties.
- 03
Your Opportunity
A starting payment is not the same as the best available outcome.
We assess the claim, manage the dispute, and track the result.
Explore Your Recovery Opportunity
Start with a conversation about your practice.
Business inquiries only. Do not send claims or patient information.ALIGNED WITH YOUR RECOVERY
We only get paid when you do.
Our service fee is a percentage of the additional reimbursement we recover for you. 4
BUILT AROUND YOUR PRACTICE
Different specialties.
The same personal commitment.
Keep your billing team. Add a dedicated recovery partner.
Anesthesiology
Demanding clinical work should not come with a second workload of payment disputes.
See how we helpRadiology
Small payment gaps across many claims can leave staff chasing balances one at a time.
See how we helpSurgical groups
The skill and effort behind surgical care may not be reflected in the initial payment.
See how we helpA PARTNER ALONGSIDE YOUR TEAM
Keep your billing team.
Add a dedicated recovery partner.
Your biller knows your practice. We bring dedicated attention to eligible payment disputes, with clear responsibilities and a personal connection.
Work with the biller you trust.
We coordinate with your existing billing team to gather claim information and supporting documentation, so everyone knows what is needed next.
Know who to turn to.
A personal contact answers questions and keeps your team updated on the dispute, outstanding information, and next steps.
Stay with the result.
We follow the dispute through resolution and payment tracking, keeping communications and outstanding actions organized.
The Process
From Review to Remittance
Your biller stays in place. We handle the dispute workflow, coordinate the information we need, and keep your practice informed from the initial review through payment follow-up.
Explore Your Recovery Opportunity- 01
Find the claims worth pursuing
We review records with your biller, check eligibility and deadlines, and identify missing information to assess which claims have a viable federal IDR pathway.
- 02
Handle open negotiation
For claims we agree to pursue, we handle open negotiation with the insurer, present the payment position, and track responses and deadlines.
- 03
Prepare and manage the dispute
If negotiation does not resolve an eligible claim, we prepare and manage the authorized federal IDR submission, organize supporting evidence, and track the determination.
- 04
Follow the payment through
We track determinations and actual insurer payments, reconcile receipts with your biller, and keep your practice informed about payments received and amounts still outstanding.
THE RIGHT CLAIM. THE RIGHT PATHWAY.
Eligibility can be complicated.
We help make it clear.
Figuring out which claims qualify shouldn’t become another burden for your team. PosiMed reviews the requirements, identifies missing information, and determines which claims we can pursue, so your practice can focus on patient care.
Not every out-of-network underpayment belongs in federal IDR. The applicable process depends on the item or service, payer and plan, state law, network setting, dates, and the specific claim facts.
Federal IDR overview from CMS ↗A FEW PRACTICAL QUESTIONS
Before we begin.
Does this replace our billing team?
No. PosiMed complements billing, coding, and routine appeals with a focused IDR escalation workflow. Responsibilities are agreed before work begins.
What happens in an opportunity review?
The initial conversation covers your practice, current payment-dispute workflow, and the information needed to assess a potential engagement. A limited pilot may follow if the scope, economics, and process make sense.
How are fees and services determined?
Service fees, responsibility for dispute-process fees, reporting, authorization, and follow-up are established in writing before an engagement. Our service fee is based on additional insurer receipts, with separate process costs. See Fees & Cost Structure for details.
Can I send claims through this website?
No. The business inquiry form is for practice contact details only. Do not submit patient information or claim details. Any later claim exchange requires an agreed, appropriate intake process and applicable agreements.
LET’S START WITH YOUR WORKFLOW
Explore your recovery opportunity.
Tell us how your practice handles disputed payments today. We’ll discuss where a focused review could help and what happens next.
BUSINESS INQUIRIES
Your first conversation
Explore Your Recovery OpportunityDo not enter patient information, claim details, or other sensitive information.