Radiology Groups Face Unique Challenges

Your Reality Today

Volume vs. Reimbursement Squeeze: You're reading more studies than before, yet earning less per case as insurers leverage out-of-network rate-setting to drive down payments.

Resource Drain: Your small billing team is challenged with managing numerous underpayments while maintaining operations.

Costly Underpayments: Even modest underpayments add up quickly in radiology, creating meaningful revenue leakage across a high-volume specialty.

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.

Stronger Radiology Outcomes: Pivotal delivers a 98% success rate in radiology, helping groups recover reimbursement more effectively and consistently.

Your Team, Freed Up: Launch in two weeks. From there, our experts handle every step of IDR so your staff can focus on patients, not paperwork.

Revenue You Can Count On: Pivotal helps convert disputed claims into more predictable reimbursement outcomes, with radiology results reaching 2.2x above initial QPA.

How Pivotal Transforms Radiology IDR Solutions

Shared Success, Not Shortcuts

We only earn money when you do. Our contingency-based structure ties our results directly to your reimbursement outcomes: no upfront costs, no empty promises. It’s simple: your success defines ours.

Seamless Launch

All we need is a simple 835/837 file feed and Pivotal handles the rest. Implementation takes about two weeks and requires no IT overhaul or training. You can even validate results with a single test claim before expanding.

Proven Performance Backed by Data

With a 98% average success rate and insights drawn from millions of data points, Pivotal knows how to build the strongest possible case for fair reimbursement. Every argument is grounded in evidence, not guesswork.

Transparency You Can See

Track every dispute, payment, and resolution through your 24/7 Pivotal dashboard. You’ll always know where things stand, without needing to chase updates.

Built to Scale

Whether you manage hundreds or thousands of claims, our platform adapts effortlessly. Our technology handles the administrative burden so your team can focus on treating your patients.

Dedicated Expertise

Your Pivotal success manager knows your account, specialty, and payors. Expect personal responses within hours, not call-center scripts or ticket numbers.

Radiology IDR Solution: FAQs

Ready to put fair back in reimbursement?

For practices committed to fair reimbursement, Pivotal Health's Radiology IDR solution recovers your rightful compensation.

Get Your Free IDR Assessment

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Citation: [1] Explainer: Federal independent dispute resolution process for surprise medical bills Citation: [2] EDPMA Data Analysis: No Surprises Act Independent Dispute Resolution Effectiveness

How quickly can we start seeing results?

What if we're already using another IDR vendor?

How do you achieve such high win rates?

Do we need to change our billing processes?

Are billing process changes required?

What's the catch? This sounds too good to be true.