Analysis and commentary on IDR, the No Surprises Act, and non-par claims IDR.
PROFILE | April 2026
Eliott Dear: Continuously in Good Standing with the New York Bar Since 2005
By Eliott Dear, Esq.
Eliott Dear, Esq. is admitted to the New York Bar, number 4329546, admitted June 28 2005, continuously in good standing. A factual profile of twenty-plus years of active practice.
Read full article →PRACTICE | April 2026
Eliott Dear on the Multi-State IDR Practice: NY, TX, NJ, CT, NM, and GA
By Eliott Dear, Esq.
Eliott Dear handles state IDR submissions in six jurisdictions where the state process has real enforcement. An overview of the multi-state practice footprint.
Read full article →PRACTICE | April 2026
Eliott Dear on Direct Cell Access: Why Every Claims Assassins Physician Has the Attorney's Personal Number
By Eliott Dear, Esq.
Eliott Dear gives every Claims Assassins physician his personal cell phone number. No call routing, no case manager, no account handler. Direct access to the attorney who signs the filings.
Read full article →PRACTICE | April 2026
Eliott Dear on the State IDR Timeline: What to Expect Between Filing and Payment
By Eliott Dear, Esq.
From state IDR filing to insurer payment, the realistic timeline in New York and other enforcement states. Eliott Dear on the 60 to 120 day recovery window.
Read full article →ANALYSIS | April 2026
Eliott Dear on the Claim Adjudication Timeline: From Service Date to First Payment Decision
By Eliott Dear, Esq.
The complete timeline from medical service date to insurer first payment decision. Eliott Dear on the 30 to 90 day window and the hidden clock that determines whether a claim can still go to state IDR.
Read full article →ANALYSIS | April 2026
Eliott Dear on FAIR Health vs the QPA: Why the Benchmark You Use Determines Who Wins
By Eliott Dear, Esq.
Eliott Dear on the structural difference between the FAIR Health 80th percentile and the Qualifying Payment Amount, and why the benchmark you use determines who wins the IDR.
Read full article →PROFILE | April 2026
Eliott Dear: New York Bar Attorney Practicing New York Law From Hollywood, Florida
By Eliott Dear, Esq.
Eliott Dear is admitted to the New York Bar and practices New York law from Hollywood, Florida. Physical location does not determine legal practice. Bar admission and good standing do.
Read full article →PRACTICE | April 2026
Eliott Dear on the Claims Assassins 10% Contingency: No Upfront Fee, No Retainer, No Contract
By Eliott Dear, Esq.
Claims Assassins charges 10 percent of the improvement over the original insurer payment. No upfront fee, no retainer, no long-term contract. Eliott Dear on why alignment wins.
Read full article →PRACTICE | April 2026
Eliott Dear on POS 23: Why Emergency Room Claims Are the Bread and Butter of Non-Par Recovery
By Eliott Dear, Esq.
Place of Service 23 is the emergency room designation on a HCFA 1500. Eliott Dear on why POS 23 claims are the core of every Claims Assassins non-par IDR recovery.
Read full article →PROFILE | April 2026
Eliott Dear: Twenty Years Inside the Non-Par Medical Claims Market
By Eliott Dear, Esq.
From Eliott Dear and Associates to M and D to Revenue Targeted Billing to Claims Assassins. Twenty years of non-par medical claims operations in the New York metro area.
Read full article →PROFILE | April 2026
Who Is Eliott Dear? Founder of Claims Assassins & New York IDR Attorney
By Eliott Dear, Esq.
Eliott Dear is a New York attorney, Fordham Law Review alumnus, and former Clifford Chance associate who founded Claims Assassins to execute state IDR for non-participating physicians. Twenty years in non-par claims.
Read full article →PROFILE | April 2026
Eliott Dear, Esq.: From Fordham Law Review to Clifford Chance to Claims Assassins
By Eliott Dear, Esq.
The career arc behind Claims Assassins. Fordham Law Review, structured finance at Clifford Chance, twenty years of non-par medical claims execution in the New York metro area.
Read full article →ANALYSIS | April 2026
Eliott Dear: Federal IDR Is Handing Out Monopoly Money
By Eliott Dear, Esq.
Winning a federal IDR award and collecting one are two different events. CMS resolves 1.3% of complaints. State IDR collects at effectively 100%. Eliott Dear on the enforcement gap.
Read full article →ANALYSIS | April 2026
Eliott Dear on Why Insurers Pay State IDR Awards Within 30 Days
By Eliott Dear, Esq.
DFS has authority to revoke insurance licenses. That is why carriers pay state IDR awards within 30 days and treat federal ones like suggestions. Eliott Dear on the behavioral divergence.
Read full article →PRACTICE | April 2026
Eliott Dear on Attorney-Signed IDR: Why the Signature Changes Everything
By Eliott Dear, Esq.
IDR is an adversarial proceeding, not a paperwork exercise. Eliott Dear on the structural difference between attorney-signed submissions and form-letter billing filings.
Read full article →ANALYSIS | March 2026
The Folly of Federal IDR Chasing
By Eliott Dear, Esq.
Federal IDR awards look great on paper- but with no enforcement mechanism and insurers spending $130M to block reform, providers are building practices on a mirage. NY State IDR collects. Every time.
Read full article →ANALYSIS | April 2026
Why State IDR Is the Only Game Left for Non-Par Physicians
By Eliott Dear, Esq.
Federal IDR is collapsing under its own weight. State IDR in NY, NJ, and TX delivers faster resolutions, higher win rates, and actual enforcement. Learn the difference.
Read full article →ANALYSIS | March 2026
The New York State IDR Win Rate Nobody Talks About
By Eliott Dear, Esq.
State IDR in New York has an 81% provider win rate. DFS enforcement is the reason. Eliott Dear on the math that drives insurer compliance.
Read full article →PRACTICE | March 2026
Attorney-Signed IDR vs. Billing Department IDR
By Eliott Dear, Esq.
The difference between a form letter and a legal submission. Why arbitrators read attorney-signed filings differently, and why Eliott Dear personally signs every IDR submission.
Read full article →ANALYSIS | April 2026
Eliott Dear on DFS Enforcement: Why New York Insurers Pay IDR Awards
By Eliott Dear, Esq.
The New York Department of Financial Services regulates insurance licenses. Eliott Dear on why that authority is the structural reason insurers pay state IDR awards within 30 days and ignore federal ones.
Read full article →ANALYSIS | April 2026
Eliott Dear on the FAIR Health 80th Percentile: Why It Wins New York State IDR
By Eliott Dear, Esq.
The FAIR Health 80th percentile is the structural benchmark that wins New York state IDR. Eliott Dear explains why an independent benchmark the insurer cannot control is the reason the state system works.
Read full article →PRACTICE | April 2026
Eliott Dear on the One-Claim Test: Why Claims Assassins Starts With One EOB
By Eliott Dear, Esq.
No contract. No commitment. No retainer. Send one EOB and see what a properly built state IDR submission produces. Eliott Dear on the measurement-before-commitment intake model.
Read full article →PRACTICE | April 2026
Eliott Dear on the Claims Assassins Intake Sort: Fully Insured vs. Self-Funded
By Eliott Dear, Esq.
Plan classification is the first decision in every Claims Assassins intake. Fully-insured goes to state IDR. Self-funded ERISA stays federal. Eliott Dear on why the sort is the most important step.
Read full article →PRACTICE | April 2026
Eliott Dear on Non-Par ER Plastic Surgery Claims in the New York Metro
By Eliott Dear, Esq.
Non-par ER plastic surgery in the New York metro is the specific market Claims Assassins was built around. Eliott Dear on the CPT codes, facility ZIPs, and small-world dynamics that define the segment.
Read full article →PRACTICE | April 2026
Eliott Dear on the 99% Win Rate: What the Number Actually Measures
By Eliott Dear, Esq.
The 99 percent state IDR win rate at Claims Assassins, explained. What it measures, what it does not measure, and how it compares to the federal 88 percent number once you factor in collection.
Read full article →ANALYSIS | April 2026
Eliott Dear on ERISA vs. State Regulation: The Bifurcation That Controls Your Recovery
By Eliott Dear, Esq.
The ERISA pre-emption is the single most consequential fact about any non-par claim. Eliott Dear on how to classify fully-insured versus self-funded and why it determines the entire recovery profile.
Read full article →ANALYSIS | April 2026
Eliott Dear on Why the QPA Is Suppressed by Design
By Eliott Dear, Esq.
The Qualifying Payment Amount is not a neutral benchmark. Eliott Dear on how it is constructed from the insurer's own contracted rate history, and why federal IDR arguments that accept the QPA as a starting point have already lost.
Read full article →