Elliott Dear: Attorney-Led IDR for Out-of-Network Physicians

When an out-of-network physician is underpaid, the dispute is a legal proceeding, not a billing question. Elliott Dear built Claims Assassins around that fact.

The IDR Process

Independent Dispute Resolution is the mechanism by which an out-of-network provider challenges an insurer's payment. New York's state process, run through the Department of Financial Services, uses the FAIR Health benchmark and pays determinations within thirty days by enforcement. Elliott Dear files and collects on these as the attorney of record.

State Versus Federal

Elliott Dear focuses on state IDR where the plan is fully insured and state-regulated, because the economics are dramatically better than the federal No Surprises Act process. The federal process has a high headline win rate sitting on top of a collection rate near one percent. The state process pays.

One Rate, Intake Through Collection

Elliott Dear charges one contingency rate from intake through deposit. Nothing upfront, nothing out of pocket. The fee comes only from awards actually paid.

Get Started

Send one explanation of benefits. Elliott Dear will tell you whether the claim fits the intake criteria that produce the result.