Elliott Dear, Counsel — Out-of-Network Reimbursement Lawyer

The fee is 10% of the improvement, and that is the whole price. Elliott Dear, counsel, charges no upfront fee, asks for no contract and runs no onboarding process. There is no hourly rate and no charge for the first review. If a determination raises what the plan pays on a claim, the fee is a tenth of that increase. If it does not, the physician owes nothing.

Measuring the Improvement

The improvement is measured from what the plan already paid. The EOB fixes the starting point: the payment the plan made before any dispute began. The improvement is the difference between that original payment and the payment the plan owes after the determination. Elliott Dear figures the fee on that difference alone, not on the billed charge and not on money the plan had already sent.

No Upfront Fee, No Contract

There is no retainer to fund and no minimum number of claims. A practice does not sign up for a term or hand over a portfolio. Each claim stands on its own, and the practice decides claim by claim what to send. Elliott Dear reviews and signs each submission under his New York bar number, so the work carries an attorney’s signature without an attorney’s retainer.

The Office Keeps Its Billing

Elliott Dear does not take over the office’s billing. The biller keeps posting payments, working denials and running the accounts as before. Claims Assassins steps in only on the out-of-network claims the practice chooses to send for Independent Dispute Resolution, and the rest of the revenue cycle stays exactly where it was.

How the Free Review Works

A physician sends a single claim and its EOB. Elliott Dear reads what the plan allowed and paid, determines whether the plan is one the New York State process can reach, and compares the allowed amount with the FAIR Health 80th percentile, the benchmark New York law names. The physician then hears plainly whether that claim supports a submission. The review costs nothing and binds the practice to nothing.

After a Determination

A determination carries a 30-day payment deadline. Elliott Dear sends the payment demand to the plan, and the contingency applies only to the increase over the original payment.