The PRISM IDR Platform.
A complete operating system for No Surprises Act dispute management. Eight integrated modules, one workspace, zero spreadsheets.
Book a demoPull EOBs and remits from your clearinghouse via SFTP, X12 835 parsing, or direct payer portal scraping.
Auto-classifies each claim under NSA, state surprise law, ERISA, or out-of-scope — with the supporting CFR citations.
Compares the payer's QPA to FAIR Health, geographic medians, and historical contracted rates; flags low outliers for challenge.
Auto-drafts Open Negotiation letters, tracks the 30-day clock, and escalates to IDR initiation on day 31.
Generates compliant IDR filings with credible information packets tuned to your service line and IDRE history.
Win rate, average uplift, payer-level performance, denial trends — exportable to your BI tool.
Federal IDR deadlines are unforgiving. PRISM tracks every clock and routes overdue items before they expire.
Every action, document, and timestamp is preserved in an immutable, BAA-covered record.
See PRISM resolve a live dispute.
45-minute working demo with our IDR strategists. Bring a real EOB and we'll walk through eligibility, QPA validation, and the recommended offer in front of you.
Schedule demo