IDR Solutions for Healthcare Providers | Pivotal Health

Who we serve

Built for the Complexity of Modern Healthcare

Pivotal Health partners with provider groups and health systems across a range of specialties, bringing efficiency and fairness to the Independent Dispute Resolution (IDR) process. Our technology and services are built to adapt to the unique challenges of each specialty, helping providers and healthcare systems recover fair reimbursement with less administrative burden.

Emergency Medicine

Complex cases, rapid decisions, and high patient turnover demand a reimbursement partner who can navigate ambiguity and defend medical necessity with precision.

Anesthesiology

From cross-coverage challenges to documentation variability, we help anesthesiology groups secure fair, consistent payments across diverse settings.

Hospitals & Health Systems

Enterprise-level visibility, seamless integrations, and aligned incentives help health systems capture overlooked reimbursement and reduce administrative strain.

Radiology

We bring clarity to high-volume imaging workflows by surfacing eligible claims and building data-driven cases radiology groups can rely on.

Air Ambulance

A notoriously difficult reimbursement category, our expertise and case-building capabilities help air medical teams defend the value of critical care transport.

Surgery

Surgery entails high complexity at high volume, and small reimbursement gaps add up quickly. We simplify the process, surface missed opportunities, and craft strong, compliant cases.

Other Hospital-Based Specialties

IDR is not limited to certain specialties, and our client base reflects the same. We are happy to discuss your situation and a potential IDR strategy.

World-class support,
tailored to your practice

Every client receives dedicated support from a Customer Success Manager who understands your specialty, workflows, and goals. Whether you’re navigating in-network or out-of-network strategies, our team adapts to your needs and proactively guides you through every stage of the reimbursement process.

Because being
pivotal means being indispensable

0

%

client retention across all specialties 

Hear from our Customers

“We managed IDR internally for a few years. But as our claims volume expanded and the process evolved, Pivotal simplified our workflow and delivered strong results. It’s been great to have Pivotal scale with us as we grow.”

Jordan Deuink

AVP Business Development

Providence Anesthesiology Associates

“Pivotal Health has provided us, a small local business, with the tools and support to drive our practice forward and recoup the reimbursement that we deserve for the expert care that we provide.”

Timothy Chilcote

MD

President Kansas Emergency Physicians

“Pivotal Health has always felt more like a true partner than a vendor — straight shooters who deliver results”

Mark Grossman

CEO

Seven Hills Anesthesia

“Pivotal Health has proven to be a great partner. The service team have been useful resources, and we have had immediate success.”

Kim Campbell

Practice Manager

Williamsburg EP

Schedule a Demo

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Emergency Medicine
Anesthesiology
Radiology
Hospitals & Health Systems

Air Ambulance
Pathology
Neurology/IONM
Surgery