White-glove IDR consulting.
Software alone doesn't win disputes — strategy does. PRISM's IDR specialists handle the entire arbitration lifecycle on your behalf, with results-based pricing.
Hand-calculated, defensible IDR offers built around your case specifics.
- —Custom QPA challenge methodology
- —Geographic & specialty benchmarking
- —Outlier identification with credible info packets
- —Offer modeling against IDRE patterns
We run the entire 30-day Open Negotiation window so you don't have to.
- —Open Negotiation initiation
- —Payer follow-up & escalation
- —Settlement evaluation
- —Clean handoff to IDR if needed
Full-service representation through certified IDR entities.
- —IDRE selection strategy
- —Compliant initiation filing
- —Credible information assembly
- —Final offer submission & response
Beyond NSA — ERISA, state surprise law, and contracted underpayments.
- —ERISA Level 1 & 2 appeals
- —State-specific dispute pathways
- —Contractual underpayment audits
- —Take-back & recoupment defense
Fully delegated IDR operations for groups without in-house bandwidth.
- —Dedicated case team
- —Weekly performance reporting
- —Payer-by-payer scorecards
- —Pay-on-results pricing
Build in-house IDR muscle with PRISM-led training and advisory.
- —NSA compliance workshops
- —QPA challenge bootcamps
- —Custom SOP development
- —Quarterly regulatory briefings
How we work.
Most engagements start with a 30-day diagnostic. From there, we move to a pay-on-results retainer aligned to net recovery.
Specialists, not generalists.
Our IDR team is staffed by former payer auditors, healthcare attorneys, and actuarial analysts. Every dispute is owned by a named lead — not a queue.
Schedule a strategy call