Now Live · NSA Independent Dispute Resolution

Medical Arbitration,
Automated by AI

Arbitron.ai recovers your out-of-network revenue through the federal IDR process — at half the cost of traditional firms, with a live client dashboard so you're always in control.

Recover My Revenue  → See How It Works
50%
Lower cost than
traditional IDR firms
48h
Average intake
to filing
98%
AI eligibility
accuracy
$0
Upfront cost —
contingency only
8-Stage Claim Process

Every claim. Every stage.
Validated at each step.

Each claim moves through eight defined stages, with AI validation at every transition. Your dashboard shows exactly where each claim stands — and flags you the moment action is needed.

01
📥

Pending

Claim received and queued. AI begins intake validation — checking for completeness, coding accuracy, and initial eligibility signals before advancing.

02
💳

Deposits Posted

Initial payer payment is recorded and reconciled. The AI compares the posted amount against benchmark data to identify underpayment and confirm dispute viability.

03
🤝

Pre-Negotiation

Before formal IDR, our AI explores open negotiation with the payer. Many claims are resolved here at favorable rates — faster and at lower cost for all parties.

04
🚫

Ineligible

Claims that don't meet federal or state IDR criteria are flagged and routed to the appropriate alternative recovery path — nothing falls through the cracks.

05
⚖️

Negotiation

Formal open negotiation period under NSA rules. AI monitors offers in real time, surfaces recommendations, and alerts you when your input is needed on key decisions.

06
🏛️

IDR

Independent Dispute Resolution filing. Arbitron prepares and submits a data-backed position statement, selects the optimal certified IDR forum, and manages all deadlines.

07

Results

Arbitration award received, recorded, and reconciled against the original disputed amount. Results feed directly into your revenue dashboard and analytics reporting.

08
🗂️

Invalid Claims

Claims identified as invalid are documented, categorized, and flagged with the reason — giving you clean data to address root causes and prevent future write-offs.

Swipe to see all 8 stages
Client Dashboard

You're always in
complete control

Unlike competitors who keep you in the dark with periodic email updates, Arbitron gives you a real-time window into every claim — and alerts you the moment a decision needs your input.

app.arbitron.ai / dashboard
2 Decisions Needed
Claim #AR-20241 · Atlantic EM Group · Stage 6 of 8 — IDR
Pending
Deposits
Posted
Pre-Nego­tiation
Ineligible
Negotiation
IDR ⚡
Results
Invalid
Complete Active Pending Flagged
⚠️ AI flagged payer counter-offer — your decision needed Action Required
Insurer submitted a counter-offer. Our AI recommends rejecting based on comparable case outcomes — projected award is significantly higher.
Payer offer
Baseline
AI projection
~2.5× offer
Recent Claims
🚨
Emergency Dept — Claim #AR-20238
Closed Oct 14 · Aetna
Payer offerAward received
🏆 3.0× payer offer
Award Won
💉
Anesthesia — Claim #AR-20239
Filed Oct 18 · BCBS · AI projection: ~2.8× payer offer
In Arbitration
🧠
IONM — Claim #AR-20240
Filed Oct 21 · UHC · Awaiting AI analysis
Needs Review
📍

Real-Time Claim Tracking

Watch every claim move through all eight validated stages — from Pending to Results — with live status updates as each transition is confirmed, 24/7.

🔔

Smart Decision Alerts

When AI or a staff member identifies a decision point — a payer counter-offer, unusual case factor, or strategic fork — you get an instant alert with the AI's recommendation and the data behind it.

🎛️

Set Your Own Preferences

Configure thresholds upfront — minimum acceptable offers, auto-approve rules for common scenarios, notification preferences — so the platform works within your comfort zone automatically.

💬

Contextual Messaging

When your input is needed, a message thread opens directly within the relevant claim — no email chains, no guessing which case a question refers to.

📊

Revenue Analytics

Live dashboards show total revenue recovered, win rates by payer, average awards, and trend data — giving you a clear picture of your financial recovery at all times.

Platform

Built different.
By design.

Where competitors rely on manual legal teams and slow processes, Arbitron runs on real-time AI and automation — with you in control at every step.

🤖

AI-First Architecture

Models trained on thousands of IDR outcomes identify winning arguments, optimal QPA positioning, and risk-weighted filing strategies automatically for every claim.

⏱️

Deadline Intelligence

The NSA has unforgiving 30-day, 10-day, and 4-day windows. Our system enforces every deadline automatically so you never miss a filing opportunity.

🗺️

Federal + All 50 States

Arbitron handles disputes nationwide — automatically routing each case to the correct federal IDR portal or applicable state arbitration system.

📁

Smart Documentation

AI-generated position statements draw from market data, Medicare benchmarks, clinical complexity, and payer history — built to maximize awards.

Unlimited Scale

No staff bottlenecks. Whether you have 10 claims or 10,000, the platform processes every one with the same speed, accuracy, and quality.

🔒

HIPAA-Compliant Security

Enterprise-grade encryption, role-based access controls, and full audit logging protect all patient data and claims throughout the arbitration process.

Comparison

Why providers choose
Arbitron over the rest

Traditional IDR firms rely on manual legal teams and opaque processes. Arbitron eliminates the overhead — and keeps you informed at every step.

Feature Arbitron.ai Traditional Firms
Pricing model~50% lower contingencyHigh contingency fees
Upfront cost None — contingency onlyFiling fees at high %
Filing speed24–48 hours (AI)Days to weeks (manual)
Live client dashboard Real-time, always on Email updates only
Decision alerts with AI data Instant alerts Not available
Client preference settings Customizable rules Not available
Eligibility screening Automated AIManual staff review
Federal + state coverage All 50 statesVaries by firm
Volume scalabilityUnlimitedLimited by staff
Real-time reporting Live dashboardPeriodic reports
Specialties

Built for the providers
most affected by IDR

We support the specialties most frequently caught in out-of-network disputes, delivering fair reimbursement across every service line.

🚨Emergency Medicine
💉Anesthesiology
🧬Radiology
🧠Neuromonitoring (IONM)
🏥Hospital Systems
🔬Pathology
✈️Air Ambulance
🦴Orthopedic Surgery
❤️Cardiology
🏗️Surgical ASCs
👁️Ophthalmology
🧪Laboratory Services
Client Results

Providers recovering more.
Every single month.

Medical groups across the country are using Arbitron to reclaim revenue they didn't know they were leaving behind.

★★★★★

We were skeptical about switching from our existing IDR firm, but the onboarding was seamless and the dashboard alone was worth it. We finally have full visibility into every claim without chasing anyone for updates.

🏆 3.1× avg. payer offer
MR
Dr. Michael R.
Medical Director · Emergency Medicine Group, Texas
★★★★★

The AI decision alerts are a game-changer. When a payer sends a counter-offer, we get notified instantly with a recommendation and the data behind it. It's like having a very smart advocate working 24/7.

🏆 2.8× avg. payer offer
SL
Sarah L., CPA
Revenue Cycle Director · Regional Anesthesia Practice, Florida
★★★★★

Our IONM claims were a nightmare to manage — complex eligibility rules, tight deadlines. Arbitron handles all of it automatically. We've recovered claims we had already written off as uncollectible.

🏆 3.4× avg. payer offer
JP
James P.
CEO · Neuromonitoring Services, Southeast Region
ROI Calculator

See your recovery
potential in seconds

Adjust the sliders to match your practice — and see what Arbitron could mean for your bottom line. Estimates are conservative and based on real IDR outcome data.

75 claims / month
$6,000 per claim
60% eligible for IDR
20% currently recovered

Your estimated annual opportunity

Eligible claims / month 45
Total disputed / month $270,000
Currently recovered / yr $648,000
Estimated with Arbitron / yr $2,268,000
Additional recovery / yr +$1,620,000

* Estimates assume ~70% IDR win rate and ~3.5× average multiplier over payer offer, based on published NSA IDR outcome data. Actual results vary by specialty, payer mix, and claim complexity. No guarantee of specific outcomes.

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FAQ

Questions we hear
every day

Everything medical providers want to know before getting started with Arbitron.

The No Surprises Act (NSA) is a federal law that limits surprise medical bills for patients receiving out-of-network emergency care or care at in-network facilities. When a payer's payment falls below what a provider believes is fair, the provider can initiate Independent Dispute Resolution (IDR) — a federally managed arbitration process where a neutral arbitrator decides the appropriate payment. Arbitron automates this entire process from eligibility screening through final award.
Arbitron operates on a pure contingency basis — you pay zero upfront fees of any kind. We collect a percentage of successfully recovered awards only. Our contingency rate is approximately 50% lower than traditional IDR law firms, meaning you keep significantly more of what we recover.
Eligible claims generally involve out-of-network emergency services, out-of-network care at in-network facilities (such as when an out-of-network anesthesiologist performs surgery at an in-network hospital), and air ambulance services. Eligibility depends on the specific payer, plan type, state laws, and whether the claim falls under federal or state IDR jurisdiction. Our AI screens every claim automatically against all applicable rules.
Once your claims are submitted, our AI completes eligibility screening and initiates filing within 24–48 hours. NSA deadlines are strict — providers have a limited window to initiate IDR after a payment determination — and missing them forfeits the right to arbitrate. Arbitron's deadline intelligence engine tracks and enforces every window automatically, including the 30-business-day open negotiation period and the 4-business-day initiation deadlines.
Your dashboard shows every claim moving through all 8 stages in real time: Pending, Deposits Posted, Pre-Negotiation, Ineligible, Negotiation, IDR, Results, and Invalid Claims. You receive instant alerts when a decision needs your input — like a payer counter-offer — with AI-generated recommendations and supporting data. You can also set preferences, configure thresholds, and message your Arbitron team directly within each claim.
No. Arbitron is designed to work alongside your existing systems. You can upload EOBs (Explanations of Benefits) directly, or we can connect to your billing system via secure integration. There's no requirement to change your EHR, practice management software, or revenue cycle workflows.
Yes. Arbitron is built on a HIPAA-compliant infrastructure with end-to-end encryption, role-based access controls, full audit logging, and Business Associate Agreement (BAA) support. Your patient and claim data is protected at every stage of the process.
Arbitron currently supports emergency medicine, anesthesiology, radiology, neuromonitoring (IONM), hospital systems, pathology, air ambulance, orthopedic surgery, cardiology, surgical ASCs, ophthalmology, and laboratory services. If your specialty isn't listed, contact us — we expand regularly and can evaluate your claim types.
Get Started

Stop leaving revenue on the table

Join medical providers across the country recovering underpaid claims — faster, smarter, and for less — with Arbitron.ai.

No commitment. We'll be in touch within one business day.