Eliott Dear: Twenty Years Inside the Non-Par Medical Claims Market

The Arc

Eliott Dear has spent nearly twenty years inside the non-par medical claims market in the New York metropolitan area. The arc runs through four companies, each one a refinement of the previous. The common thread is the fight to turn out-of-network claims into enforceable payment when the insurer does not want to pay.

The through-line across twenty years. The claim is a legal document, the determination is a legal document, and the IDR filing is a legal document. The discipline that wins is the same discipline a law firm associate brings to a complex contract. Read the text. Verify the inputs. Build the argument on a number the other side cannot move.

Eliott Dear and Associates PC

The first company was Eliott Dear and Associates PC, founded soon after Eliott Dear left Clifford Chance. The practice started as general legal work for small businesses in the New York metro area. Partnership agreements, corporate transactions, real estate closings. But the files that generated the most work were the medical practices whose billing departments could not collect from out-of-network insurance claims.

The pattern became obvious within eighteen months. The medical practices were losing money not because of clinical problems, not because of coding errors, but because the insurers were systematically underpaying out-of-network services and no one was reading the determinations carefully enough to push back. Eliott Dear and Associates became a medical claims recovery shop almost by accident.

M and D Capital Advisors and M and D Premier Billing

The second company was M and D. First M and D Capital Advisors, then M and D Premier Billing. M and D was a joint venture designed to scale the same recovery model from one attorney handling files personally to a full operations team handling volume. At its peak, M and D was running non-par claims recovery for plastic surgeons and ER physicians across the New York metro, billing out at volume the original practice never could have handled.

M and D ended in a partnership dispute that Eliott Dear has addressed directly elsewhere. The lesson from M and D was that the underlying recovery model worked. It could be scaled. But governance, partnership, and control had to be built right from the beginning or they would eat the enterprise.

Revenue Targeted Billing, EDRTB LLC, Claims Assassins

The third iteration was Revenue Targeted Billing, later restructured as EDRTB LLC. EDRTB is the current operating entity. Claims Assassins is the brand. The shift from M and D to EDRTB was a shift from a general billing operation to a focused legal practice built entirely around state IDR execution. The one recovery channel that actually pays.

Twenty years of non-par work has distilled into a single operating principle. State IDR wins, federal IDR is theater, and the attorney who personally signs the filing is the entire difference between a form-letter submission and a winning argument. Claims Assassins is that principle turned into an operation. One attorney, one signature, one recovery channel, one contingency fee, no retainer. Twenty years inside the market and this is the version that actually works.