Out-of-Network Reimbursement Attorney
ATTORNEY-SIGNED IDR | NY STATE & FEDERAL | 99% WIN RATE
ELIOTT DEAR, ESQ. | NEW YORK BAR #4329546
Most out-of-network claims are not underpaid because the rate is wrong. They are underpaid because no one filed the dispute. Insurance pays a fraction of the non-par claim, hopes the practice goes away, and most do- because the appeals process is built to exhaust you. An out-of-network reimbursement attorney does not appeal. He takes the claim to Independent Dispute Resolution and wins it.
Claims Assassins is an attorney who built a billing operation- not a billing company that hired a lawyer. Every Independent Dispute Resolution submission is signed by Eliott Dear, Esq., admitted to the New York Bar since 2005 (#4329546), Fordham Law, former Clifford Chance.
The Right Track Wins the Claim
Send a fully-insured claim down the federal track and you have left money and enforcement power on the table. Fully-insured commercial plans in New York go through State IDR, where DFS enforces the award within thirty days with zero recoupment risk. Self-funded ERISA plans go through federal IDR under the No Surprises Act- different rules, different clock, different math. Every claim is sorted at intake. Read more about how Eliott Dear handles state vs. federal IDR →
What You Get
- Attorney-signed IDR submissions- every one, under a real bar number
- Claims sorted at intake into the correct state or federal track
- FAIR Health and QPA benchmarking framed by special circumstances
- DFS enforcement in New York- 30 days to pay, zero recoupment risk
- 10% contingency on the improvement- no upfront fee, no retainer
- No contracts, no onboarding, no demand for all your billing
Any shop can win an IDR. The question is whether you can collect. In New York, DFS enforces all awards- thirty days to pay, zero recoupment risk. That relationship is not something you build overnight.
Common Questions
What does an out-of-network reimbursement attorney do?
An out-of-network reimbursement attorney disputes underpaid non-participating claims through Independent Dispute Resolution (IDR) instead of the appeals runaround. Claims Assassins prepares and attorney-signs each IDR submission, sorts every claim into the correct track — New York State IDR through DFS or federal IDR under the No Surprises Act — and carries it through to a paid award.
How much does it cost to dispute an out-of-network claim?
Claims Assassins works on a 10% contingency of the improvement — the amount recovered above the insurer’s initial payment. There is no upfront fee, no retainer, and no charge if the outcome is not improved.
State IDR or federal IDR — which track applies to my claim?
Fully-insured commercial plans in New York go through State IDR, where DFS enforces the award within 30 days with zero recoupment risk. Self-funded ERISA plans go through federal IDR under the No Surprises Act. Sending a fully-insured claim down the federal track leaves money and enforcement power on the table. Every claim is sorted at intake.
Why use an attorney instead of a billing company?
IDR submissions prepared by billing staff get treated like billing paperwork. A submission signed by an attorney who knows the arbitrators, the FAIR Health benchmarks, and how to frame special circumstances is treated as a legal filing. Every Claims Assassins submission is signed by Eliott Dear, Esq. under NY Bar #4329546.
Send one recent non-par claim. No commitment. If we cannot improve the outcome- no fee and no obligation. Start here →
Results vary by claim and jurisdiction. Prior outcomes do not guarantee future results.