Eliott Dear on the Multi-State IDR Practice: NY, TX, NJ, CT, NM, and GA

The Six-State Footprint

Claims Assassins files state IDR submissions in six states: New York, Texas, New Jersey, Connecticut, New Mexico, and Georgia. These are not arbitrary jurisdictions: each runs its own state IDR process under its own insurance regulator.

Why New York Is the Primary Jurisdiction

New York is the anchor jurisdiction. The New York Department of Financial Services regulates health insurance licenses in the state and administers New York’s IDR process. Claims Assassins files the majority of its submissions in New York.

New York also has the most developed IDR rule set and the clearest FAIR Health benchmark methodology. An Eliott Dear-signed New York state IDR submission comes from an attorney admitted to the New York bar in 2005.

Texas, New Jersey, Connecticut, New Mexico, and Georgia

Texas has the second-largest state IDR caseload after New York. The Texas Department of Insurance oversees the process for carriers licensed in the state. New Jersey operates a state arbitration system under DOBI. Connecticut has a mediated state process with CID backing. New Mexico and Georgia both run state IDR programs with state insurance commissioner oversight.

The common thread: state regulator, state licensure, state rules. Physicians in any of these six states can have Eliott Dear review, sign and file a properly built state IDR submission against an insurer licensed in that state.

The Same Work in Every State

In every one of the six states, the work is the same: Eliott Dear sorts the plan, reviews and signs the submission, tracks the deadlines, and sends the payment demand.