Fair compensation,
for the people who deliver care.
PRISM exists to help providers, facilities, and the communities they serve — by making sure that the care delivered is the care that gets paid for. We turn the No Surprises Act from a paperwork burden into your competitive advantage.
Five letters.
One promise.
PRISM stands for Payment Resolution & IDR System Management — the full stack of work it takes to get providers paid fairly under the No Surprises Act. Here's what each letter does for you.
Every dollar earned at the bedside, recovered. We make sure the care your team delivered is the care your group gets paid for.
Disputes closed decisively. We don't just file — we drive payer negotiations to fair, defensible outcomes that hold up under scrutiny.
Federal Independent Dispute Resolution under the No Surprises Act. The arbitration process built to level the playing field — we make it work for you.
Purpose-built software that scales with your practice. From a single ER group to a multi-state facility network, the platform handles the volume.
End-to-end handling — eligibility, negotiation, IDR filing, follow-through. Your clinicians stay focused on patients; we run the rest.
Built for providers.
Felt by communities.
When providers and facilities are paid fairly for the care they deliver, healthcare works the way it's supposed to. Practices stay viable, clinicians stay at the bedside, and the communities they serve keep access to care.
Emergency physicians, anesthesiologists, radiologists, hospitalists, pathologists — anyone delivering care out-of-network deserves fair compensation. We make sure they get it.
Hospitals, surgery centers, freestanding ERs, and air ambulance providers. We strengthen your revenue cycle so your facility stays sustainable and your doors stay open.
When providers are paid fairly, practices stay viable, clinicians stay at the bedside, and patients keep access to the care their community needs.
Return underpaid dollars to the people who earned them.
The No Surprises Act protects patients from surprise bills — that's a good thing. But the dispute process built around it is heavily tilted toward payers. Providers have a 30-day window, one offer, and limited support. PRISM levels that playing field, so the people delivering care aren't the ones left short.
Four operating values.
Every decision starts with one question: does this help the provider get paid fairly? Nothing else takes priority.
Every offer we make is supported by citations, benchmarks, and statistically valid comparables — built to withstand any IDRE review.
Pay-on-results. We only win when you do, which means our incentives are identical to yours from day one.
Every case has a named owner, a documented playbook, and a full audit trail. No queues, no black boxes.
Seasoned operators from the other side of the table.
Most of our team has worked inside payer dispute departments — as auditors, healthcare regulatory attorneys, board-certified physicians, and credentialed actuaries. We know how payers staff, score, and settle disputes because we used to do it ourselves.
- · Former payer provider-disputes leads
- · Healthcare regulatory attorneys
- · Board-certified emergency & anesthesia physicians
- · Credentialed actuaries (FSA, ASA)
- · Revenue cycle & clearinghouse operators