Out-of-Network Reimbursement Attorney
ATTORNEY-SIGNED IDR | NEW YORK DFS | 10% CONTINGENCY
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 argues it as a legal filing.
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 in 2005 (#4329546), Fordham Law, former Clifford Chance.
The Right Track for Every Claim
Fully-insured commercial plans in New York go through State IDR, administered by DFS, where a determination carries a thirty-day payment deadline. Every claim is sorted at intake. Read more about Eliott Dear, Esq. →
What You Get
- Attorney-signed IDR submissions- every one, under a real bar number
- Claims sorted at intake into the correct IDR track
- FAIR Health benchmarking framed by special circumstances
- New York IDR administered by DFS- 30 days to pay on a determination
- 10% contingency on the improvement- no upfront fee, no retainer
- No contracts, no onboarding, no demand for all your billing
Filing an IDR is half the job. The other half is the follow-through- tracking every deadline and sending the payment demand. In New York, a determination carries a thirty-day payment deadline. That discipline 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 IDR track, tracks the deadlines, and sends the payment demand after a determination.
How much does it cost to dispute an out-of-network claim?
Claims Assassins works on a 10% contingency of the improvement — the amount above the insurer’s initial payment. There is no upfront fee, no retainer, and no charge if the outcome is not improved.
Which claims go to New York State IDR?
Fully-insured commercial plans in New York go through State IDR, administered by DFS, where a determination carries a 30-day payment deadline. Every claim is sorted at intake by plan.
Why use an attorney instead of a billing company?
A submission sent by a billing company carries no attorney signature. A submission signed by an attorney puts a licensed lawyer’s name and bar number behind every statement in it. 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.