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Who we serve
Our Emergency Medicine IDR Solution
Emergency medicine reimbursements have dropped by 39% since the No Surprises Act. This has left many emergency medicine groups struggling to operate sustainably. Our proven Emergency Medicine IDR (Independent Dispute Resolution) solution can help you recover unpaid revenue, settle ER billing disputes and stabilize performance across the revenue cycle.  

Ready to see what we can do for your emergency medicine group?
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95%

Success Rate

99%

Client Retention

4-5x

Lift on Initial Payment

Trusted by leading emergency medicine groups nationwide

Real Results for Emergency Medicine Groups

99% Client Retention
Whether you’re looking to improve out-of-network reimbursement or return in-network, we support your unique goals.
48 Days Faster Outcomes
While IDR typically takes 5-6 months, our emergency medicine clients get fair reimbursement in an average of 6 weeks.
95% Success Rate
Our data-driven approach, unique payor data, and custom claim recommendations improve client outcomes.
Emergency Medicine Groups Face Unique Challenges
Your Reality Today:
NSA Payment Cuts: Since the No Surprises Act, many emergency medicine groups have seen steep reimbursement reductions from insurers, with limited recourse.
Dispute Challenges: The Independent Dispute Resolution (IDR) process offers a path to improve rates, but it’s slow, complex, and admin-heavy.
Financial Pressure: These headwinds leave emergency provider groups struggling to sustain operations, retain staff, and deliver quality care.
Your Reality With Pivotal:
Aligned Incentives: We only earn when you do. Pivotal is compensated solely on additional reimbursement we generate for your practice. No lock-ins, no exclusivity.
Ethical & Effective IDR: Our data-driven, compliant IDR approach typically delivers 4–5x your original reimbursement, without abusing the process.
Time Back: Setup takes just two weeks. After that, our team handles the heavy lifting so yours can focus on patients, not paperwork.
Predictable Cash Flow: IDR takes an average of 45 days, less than one-third of the industry average. Regain control and budget with confidence.

Your Path to Fair Emergency Medicine Reimbursement

Simple Start

  • Integrates to your billing system
  • Identifies claims automatically
  • Causes zero workflow disruption

Smart Analysis

  • Review every underpaid claim
  • Identify IDR-eligible disputes
  • Build data-driven arguments

Swift Action

  • Handle all filings expertly
  • Manage deadlines and documentation
  • Respond to payor challenges

Superior Results

  • Average success rate of 95%
  • Full transparency via dashboard
  • Time spent in IDR ~ 45 days

See How Pivotal Health Can Transform Your Business

“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 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

Your Path to Fair Emergency
Medicine Reimbursement
Aligned Incentives
Unlike IDR vendors who collect fees as soon as arbitration is won, Pivotal only earns when the reimbursement actually lands in your account. We also provide options for no capital outlay on your part. We only win when you do.
Lightning-Fast Implementation
Go live in under 2 weeks with a simple 835 feed. No IT projects, no training, no disruption.  Start with just one claim to see results.
Unmatched Success Rates
Our 95% success rate comes from analyzing millions of data points across thousands of cases. We know every insurer tactic and have the data to achieve fair reimbursement.
Complete Visibility at Every Stage
Access your Client Portal at any time to track every dispute, payment, and win rate. Transparency means no surprises, just predictable revenue.
True Scale & Automation
Scale from hundreds to thousands of disputes monthly without hiring. Our technology handles the heavy lifting while your team focuses on patient care.
White-Glove Support
Your dedicated success team responds within hours, not days. No call centers, no runarounds. Just experts who know your account and deliver results.

Common Questions About Emergency Medicine IDR Solutions

How quickly can we start seeing results?
How do you achieve such high win rates?
What's the catch? This sounds too good to be true.
What if we're already using another IDR vendor?
Do we need to change our billing processes?
Ready to put fair back in reimbursement?

If you want fair, ethical reimbursement, let Pivotal Health's Emergency Medicine IDR solutions recover what you're owed – risk-free.

Get Your Free IDR Assessment
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Citation: [1] EDPMA NSA Implementation and Compliance Data Analysis (April 2024): Analysis of emergency medicine reimbursement changes and out-of-network payment disputes following No Surprises Act implementation citation: [2] Imagine Team Analysis - "Surprise NSA Adds to Challenges Facing Emergency Medicine Groups": Independent analysis citing EDPMA data showing significant  reimbursement reductions and increased dispute volumes in emergency medicine

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