Experts in Independent Dispute Resolution (IDR)
Utilizing No Surprises Act (NSA) and State Balance-Billing Laws
A Pioneering Force
With an exclusive focus on Independent Dispute Resolution (IDR), HaloMD supports thousands of healthcare providers across the country. Our work reinforces financial sustainability in specialties most affected by out-of-network disputes, ensuring communities can rely on consistent access to critical healthcare services.
Industry Leading Results
$2B
Annually in Award Determinations
Industry-Leading Win Rate
Increase Over Initial QPA
Providers Supported
Days in IDR Process
Navigating IDR with Precision and Power
HaloMD manages Independent Dispute Resolution (IDR) at scale. With exclusive focus on the No Surprises Act and state balance-billing laws, our proprietary platform adapts to evolving regulations and ensures filings are handled with accuracy and compliance. Every dispute is managed with transparency and consistency—helping providers strengthen financial stability and preserve access to care for patients.
HaloMD’s platform expertly navigates the complexity of IDR with a seamless, data-driven approach. Here’s how it works:
Initial Claim Submission
Initial Claim Submission
Offer Analysis
Offer Analysis
We leverage powerful analytics to evaluate insurer offers.
Data-Driven Strategy
Data-Driven Strategy
Using deep insights from our extensive database and historical outcomes, we craft a customized, winning strategy for each claim.
Documentation Preparation
Documentation Preparation
Our team gathers and organizes the necessary documentation, preparing a compelling case that highlights the provider’s position, ensuring nothing is overlooked.
Submission to IDRE
Submission to IDRE
The platform handles the entire submission process, making sure it adheres to all regulatory requirements and deadlines, whether under federal or state-specific IDR guidelines.
Expert Negotiation
Expert Negotiation
Our legal and financial experts engage to negotiate the most favorable outcomes, supported by real-time data and AI-driven insights.
Resolution
Resolution
Our platform ensures prompt resolution for provider.
Ongoing Reporting
Ongoing Reporting
Detailed reporting and analytics are continuously available, offering insights into claim outcomes, trends, and future opportunities for providers.