BillWell: Your Trusted Partner for Federal IDR Services
Navigating the complexities of the Federal Independent Dispute Resolution (IDR) process can be overwhelming. At BillWell, we specialize in providing end-to-end solutions to help healthcare providers resolve payment disputes efficiently and in full compliance with federal guidelines. With BillWell as your strategic partner, we will manage every phase of claims subject to the No Surprises Act (NSA), ensuring you greater efficiency to focus on patient care.
Step by Step
Our Comprehensive Services
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Eligibility Assessment
Our team evaluates whether your case qualifies for the federal IDR process by carefully reviewing billed charges, rendered services, service dates, place of service codes, geographic location, service code(s), applicable insurance plans, and more.
Pre-IDR Negotiation
We leverage payer-side expertise to negotiate competitive rates directly with payers to reach a fair settlement prior to initiating the federal IDR process.
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Dispute Initiation
When negotiation attempts fail, BillWell handles the submission of the Notice of IDR Initiation, ensuring all required details and documentation are accurate and complete.
Data Preparation
Our experts compile and present the necessary data to support your position for fair reimbursement.
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Arbitrator Selection
We guide you through the arbitrator selection process, ensuring the chosen entity has the qualifications to handle your dispute effectively.
Offer Submission
We craft a compelling payment offer backed by data and evidence to maximize your chances of a favorable resolution.
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Resolution & Follow-Up
Once the arbitrator’s decision is made, we assist with:
· Implementing the resolution
· Ensuring compliance with determination
· Preparing for potential future disputes
Expertise You Can Trust
Why Choose BillWell?
Our claims settlement services team is spearheaded by a seasoned healthcare
professional, translating payer-side success of pre-and-post-pay claims negotiations, No Surprises Act (NSA), and the federal Independent Dispute (IDR) processes into improved cashflow for healthcare professionals. This insider perspective into the inner workings from the payer-side allows us to leverage actionable strategies that now safeguard the provider’s claim settlements into favorable outcomes.
Tailored Solutions
We understand that every case is unique. Our services are customized to meet your specific financial needs and objectives.
End-to-End Support
From eligibility assessment to post-resolution follow-up, we’re with you every step of the way.
Common Questions
What level of service can I expect BillWell to provide?
Proactive Updates
· Transparent communication at every stage of the IDR process
· Timely updates on progress, potential delay or changes in service.
Compliance with Evolving Requirements
· Expertise in staying current with IDR regulations and requirements.
· Regular updates on regulatory changes, ensuring your claims are processed smoothly.
· Support for training your staff to facilitate seamless claim transitions.
Dedicated Client Support
· Quick response times with a dedicated support team.
· Consistent follow-up after significant milestones to ensure client satisfaction.
A True partnership
· Easy ways to provide feedback through post-service survey or feedback forms.
· Regular engagement to maintain strong and collaborative relationships.
What claims qualify for the federal IDR process?
Qualifying items or services include emergency, out-of-network providers rendering services in in-network facilities, and air ambulance with a date of service on or after January 1, 2022, meeting eligible POS codes and specializations.
How long does the process take?
Generally, the process can take 60-90 days. In certain instances, the process could take longer or be completed in a shorter period.
What documentation is needed to get started?
BillWell requires the following information to facilitate payment disputes:
· Dates and locations of service
·Services Rendered
· Claim Numbers
· Explanation of Benefits
· Explanation of Payment
· Provider’s Credentialing Information
· Facility Agreements
· Prior Network Participation
· Practice Administrative Contact/Phone/Email
What resources are available to help me understand the process?
BillWell offers an Expert Knowledge Center for our clients including IDR Guidelines, Case Studies, Market Analysis, Regulatory Updates, and Educational Webinars.
How much do IDR services cost?
BillWell offers a complimentary Financial Analysis and Projections Report to help you understand potential costs and outcomes before proceeding with the IDR process. Our pricing is transparent and tailored to your specific claims data. Contact us to learn more about our fee structure and how we can support your revenue recovery.
