No Surprises Act Dispute Management demo
Every federal payment dispute sorted, checked for eligibility and answered with the plan's rate evidence before the deadline. 1:14
What the demo shows
A dispute solution for health plans that checks each federal IDR case and drafts the reply.
Six agents read each federal dispute notice, match the claims, catch the lines that do not belong in federal IDR, build the rate evidence, and place the case on a number line beside every past decision for the same code and region, so the analyst positions the plan's offer where arbiters have chosen the plan; the reply drafter writes the response and a person signs.
Transcript
- No Surprises Act Dispute Management answers federal payment disputes for health plans.
- Providers opened 394,000 in July alone, each on a 10-day clock.
- Kestrel asks $19.85 a visit.
- The plan paid the 412 QPA.
- The agents matched 18 claims and set aside three ineligible lines.
- Kestrel's own old contract, trended to today, is $6.24.
- Each dot is a past decision here, blue where the arbiter chose the plan.
- Offer only the QPA, and the plan won five times in 24.
- At $6.40, it won 15 of 17, and the reply drafts itself.
- Lena co-signs, and the offer goes in eight business days early.
- Built on Botminds: agents, data, screens, and governance on one platform.
Transcribed from the film’s narration. Captions are on the player.