Eliott Dear: The 30-Day Clock After a New York IDR Determination

Most of the conversation about out-of-network disputes stops at the determination. The arbitrator decides, the notice issues, and the file gets marked closed.

If you stop reading there, it looks like the job is done the day the decision lands.

Eliott Dear does not stop reading there.

The Determination Starts a Clock

In New York, the Department of Financial Services administers state IDR, and a determination carries a 30-day payment deadline. Not 30 days to appeal. Not 30 days to file a counter-motion. Thirty days.

That deadline is a rule on paper. Somebody has to be watching it.

Eliott Dear tracks that deadline on every New York determination and sends the payment demand. Not a billing reminder from a revenue cycle desk—a demand from the attorney who signed the filing.

The Submission Is the Work

Every filing Eliott Dear makes is signed by an attorney—not generated by a billing template, not submitted by a revenue cycle company. A legal document backed by FAIR Health 80th percentile benchmarks, geographic analysis, and procedure-specific complexity factors.

The arbitrator decides off the submission. That is where the work goes, and that is why nobody but an attorney signs it.

Where the Work Is Filed

Eliott Dear files state IDR—in New York, Texas, New Jersey, Connecticut, New Mexico, and Georgia. These states have their own arbitration systems, each with its own rules and its own deadlines.

The playbook is the same in every one of them: read the EOB, sort the plan, build the submission, sign it, file it, and track the deadline that comes after the decision.

The Distinction

Eliott Dear is an attorney. Not a billing company. EDRTB LLC, doing business as Claims Assassins, exists for one purpose: filing attorney-signed state IDR disputes for non-participating surgeons and specialists.

If you are sitting on non-par claims, ask whoever is handling them one question: who signs the submission, and who is watching the 30-day deadline after the determination?

If they do not have an answer, call Eliott Dear.