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Independent Dispute Resolution, Powered by Healthcare Expertise.

Your Undeniable
Advantage in IDR

You Provide the Care.We Protect Its Value.

When insurers fail to cover the cost of care, Advantify steps in to manage your payment disputes. Our end-to-end service helps you pursue fair reimbursement through Independent Dispute Resolution (IDR) under the No Surprises Act, without the administrative burden.

Why Advantify

We Care about the Value of Your Care.

The Challenge

Stop letting insurers undervalue your expertise.

When a payment fails to reflect the time, resources, and complexity of care, you can challenge the rate through the Independent Dispute Resolution (IDR) process under the No Surprises Act.

Commercial insurers rely on the Qualifying Payment Amount (QPA), the median of their contracted rates, to lower the threshold for reimbursement. In IDR, the QPA can be a starting point for negotiation, not the end result.

Advantify helps you pursue fair payment. We submit an evidence-based offer for each underpaid claim, factoring in the QPA alongside your contracted rates, training, credentials, and documented procedures.

We manage the data-heavy process so you can earn the true market value of your expertise.

QPA*INITIAL PAYERPAYMENTIN-NETWORKREFERENCE RANGE
*Qualifying Payment Amount

The Opportunity

We screen every claim to uncover more opportunity.

Our innovative technology powers front-end eligibility screenings, compliant negotiations, deadline-driven submissions, and end-to-end tracking for transparent review of every reimbursement outcome. Paired with oversight from our IDR case specialists, the smart workflow is built to scale while guiding each claim from review to resolution.

Competitors: 20% of cases screened. Focus on high-value cases.

Illustrative. Each square is one case; highlighted squares are the cases screened.

The Value

88-90%

IDR determinations

favoring our providers

INDUSTRY AVG.*0%100%
*Share of all federal IDR determinations favoring providers, 2025 (CMS public use files).

The Impact

Revenue recovery

for health systems & providers.

  • Recover More Revenue
  • Strengthen Financial Stability
  • Support Continued Patient Care

By turning underpaid claims into recovered revenue, we help health systems and providers strengthen financial performance and reinvest in what matters most: patient care.

Who We Help

IDR for Healthcare Leaders,by Healthcare Leaders.

Advantify helps health systems, hospitals, physician groups, emergency practices, and revenue cycle management teams achieve better outcomes in their out-of-network payment disputes. Reimbursement issues, clinical factors, and documentation requirements vary by specialty. Our healthcare expertise allows us to account for the difference, identify eligible claims, and prepare submissions that hold up under review.

We understand your specialty, not just the process.

  • Health and hospital systems

  • Physician groups

  • Anesthesiology

  • Pathology

  • Radiology

  • Surgery

  • Emergency Medicine

  • Air ambulance

Our Approach

Expert Guidance.Intelligent Workflow.

We’ve led hospitals and managed revenue cycles, so we know firsthand what’s at stake when claims are underpaid. Services get cut, staff get stretched, and patients feel the financial strain. We built Advantify to take the pressure off your team. We bring healthcare expertise to every step of your disputes under the No Surprises Act, so the focus stays on patients, not paperwork.

Advantify, your undeniable advantage in IDR.

Get in Touch with Our Team

Fill out this form and an Advantify representative will reach out promptly.

You can also email info@advantify.ai directly.