Surprise medical bills and unfair out-of-network payments have become a major challenge for healthcare providers, especially hospitals and freestanding emergency rooms. The No Surprises Act introduced the Independent Dispute Resolution (IDR) process to protect providers and patients from unexpected costs, but navigating this process isn’t always simple. That’s where Zanexmed steps in.
With over 10 years of experience in medical billing and revenue cycle management, Zanexmed has the expertise, systems, and proven track record to help providers maximize reimbursements through the IDR process.
What is IDR, and Why Does it matter?
Under the No Surprises Act, when a provider and an insurance company cannot agree on a payment amount for certain out-of-network services, the dispute can be resolved through IDR. This arbitration process allows providers to challenge unfairly low payments and demand fair reimbursement rates.
Many providers, however, avoid using IDR because the process can seem complex and time-consuming. The reality is: many out-of-network claims qualify for IDR, and ignoring them means leaving thousands of dollars uncollected every month.
How Zanexmed Helps
Zanexmed simplifies IDR from start to finish. Our specialized team identifies eligible claims, gathers and prepares strong supporting documentation, files the dispute properly, and represents your practice through every step of the negotiation and arbitration process.
We understand the tactics payers use to underpay out-of-network claims. With our deep industry knowledge and proprietary data, we strengthen your position, push back against low-ball offers, and help you get the fair payment you’re owed.
Our Proven Independent Dispute Resolution IDR Approach
✔️ Claim Eligibility Review: We analyze your denied or underpaid out-of-network claims to pinpoint which ones qualify for IDR under current federal guidelines.
✔️ Data-Driven Dispute Prep: We build compelling, evidence-based cases using historical payment data, regional charge benchmarks, and robust documentation to justify your claim amount.
✔️ Submission & Follow-Up: Our team manages the entire filing process, keeps up with deadlines, and communicates with arbitration entities so you don’t have to.
✔️ Negotiation & Final Resolution: We handle payer communication and fight for maximum reimbursement, so you focus on your patients, not on paperwork.
Protecting Patients & Revenue
IDR doesn’t just secure fair payments for providers — it also helps protect your patients from unexpected balance bills and financial stress. By letting Zanexmed handle the complex disputes, you safeguard your revenue and your patient relationships.
Partner with Zanexmed for IDR Success
With over a decade of experience recovering lost revenue for hospitals and ER facilities, Zanexmed is your trusted partner in medical billing and IDR support. From identifying underpaid claims to winning disputes, we stand by your side every step of the way.