Elliott Dear, Esq. — New York Attorney, Founder of Claims Assassins

A week in the practice of Elliott Dear runs in one fixed order, and it starts the moment a physician’s office sends a claim and its EOB. Nothing else is needed to begin: no contract, no onboarding packet, no handover of the office’s billing. What follows is that week, step by step, in the sequence the work actually moves.

Intake

The paper arrives from a plastic and reconstructive surgeon, an emergency physician or an oral and maxillofacial surgeon who treated a patient out of network. Elliott Dear reads the claim and the EOB together, because the EOB is the insurer’s own account of what it allowed and every later step leans on it.

Sort

Before anything is built, the plan is sorted. A fully insured New York plan belongs in New York State IDR, the process the Department of Financial Services administers. A self-funded plan sits outside the state process, and the physician is told so plainly rather than having the claim pushed somewhere it does not belong.

Build

The submission is assembled from three documents: the EOB, the operative note and the billed charges. The operative note supplies what was done; the billed charges supply what was asked; the argument sets both against the benchmark New York law names, the FAIR Health 80th percentile.

Sign and File

No submission leaves until Elliott Dear has reviewed it and signed it under his bar number. He is a New York attorney, registration #4329546, admitted to the New York bar in 2005 and in good standing, with a J.D. from Fordham University School of Law. Once signed, it is filed.

Track

Filing is the middle of the week, not the end of it. Each dispute carries deadlines, and they are tracked from filing to determination so nothing on the physician’s side slips past a date while the office gets on with patients.

Demand

After a determination, the payment demand goes to the insurer. A determination carries a 30-day payment deadline, and the demand puts that deadline in front of the insurer in writing, with Elliott Dear’s name on it.

The Terms Behind the Week

Elliott Dear founded Claims Assassins in 2018 and has about twenty years of work in out-of-network physician billing. The fee is a 10% contingency on the improvement, with no upfront fee, and the office keeps its own billing throughout. A physician who wants to see the week from the inside can start it with one claim, sent for a free review.