Arbitration, Litigation Support & IDR
Strategic support for resolving complex out-of-network payment disputes through expert arbitration, litigation guidance, and IDR enforcement.
When Denials Escalate—We Go the Distance
Some IONM claims aren’t just denied—they’re aggressively underpaid, misclassified, or ignored. That’s where APEX’s Arbitration, Independent Dispute Resolution (IDR), and Litigation Support services come in. We don’t stop where other billing firms give up, we take your toughest cases to the finish line.
We’re built to fight. Whether in-house or with legal partners, your claim gets what it’s owed.
Why This Step Matters
- Many IONM claims are out-of-network and often mishandled by payers despite federal protections like the No Surprises Act.
- Arbitration and IDR can recover 2x–4x more than a basic resubmission or weak appeal.
- Most billing firms either don’t support arbitration or outsource it without accountability.
What We Do
✅ In-House Arbitration Services
Our internal team builds and files complete arbitration packets—often outperforming outsourced legal groups in both speed and success rate.
✅ IDR & No Surprises Act Enforcement
We use federally approved IDR channels to demand fair payment on protected services, especially when performed in in-network facilities.
✅ Litigation Coordination
For escalated cases, we coordinate directly with vetted healthcare attorneys and track every step—including invoicing oversight.
✅ Post-Award A/R Follow-Through
We don’t stop at the win—we manage post-award follow-up to ensure payers actually remit payment (a gap most attorneys neglect).
✅ Compliance & Documentation Tracking
We document every step for legal defensibility and full payer accountability.
What Sets APEX Apart
In-House Arbitration Capability
We don't rely solely on law firms. Our internal team is trained and equipped to submit, track, and win arbitrations with industry-leading success rates.
Post-Award Collections
Other billing companies stop after a win. We keep fighting until the money is actually received and reconciled.
Attorney Oversight
When we do work with outside counsel, we audit attorney invoices and ensure they align with contractual expectations.
Protection for Your Practice
With APEX, you’re not exposed. We handle arbitration rules, IDR deadlines, and legal nuances so you stay focused on care—not court.
Result: Higher Payouts. Real Recovery.
Whether via IDR, arbitration, or legal recourse, we help you secure full payment for high-value claims—without compromising compliance or timelines.
Ready to Transform Your Revenue Cycle?