No upfront cost  ·  Contingency only

Your insurer owes you more. We collect it.

ArbMD recovers underpaid out-of-network claims through the No Surprises Act IDR process. Zero cost to you. We only get paid when you do.

Start Recovering See How It Works
88%
Provider win rate in federal IDR (2025)
459%
Median award above insurer's initial offer
$5B+
Total IDR market through 2024
$0
Cost to providers. Ever.
Emergency Medicine Anesthesiology Radiology Neuromonitoring Air Ambulance Surgery Pathology No Surprises Act Federal IDR Nationwide Coverage All 50 States Emergency Medicine Anesthesiology Radiology Neuromonitoring Air Ambulance Surgery Pathology No Surprises Act Federal IDR HIPAA Compliant Zero Upfront Cost Nationwide Coverage All 50 States
The Process

Four steps to full recovery.

We handle everything from claim audit to final payment. You keep seeing patients. We keep fighting for what you're owed.

STEP 01
🔍
Claim Audit
We connect to your billing system and identify every eligible underpaid or denied out-of-network claim. Only winnable claims move forward — no wasted filings.
STEP 02
🤝
Open Negotiation
We initiate the required 30-day negotiation period with the insurer on your behalf. Many claims settle here — faster money, no arbitration needed.
STEP 03
⚖️
IDR Filing
For unresolved claims, we file through the federal IDR portal with a data-driven arbitration strategy. We manage every deadline, every document, every argument.
STEP 04
💰
You Get Paid
Insurer pays within 30 days of determination. We take our contingency fee only on the amount recovered above the insurer's initial payment. Zero risk to you.
Why ArbMD

The compliant alternative.

Independent providers deserve a compliance-first partner who prioritizes accuracy, eligibility, and results — not volume.

Others
ArbMD
Automated bulk filing with minimal oversight
Compliance-first. Every claim reviewed before filing
High ineligibility rates waste time and damage trust
100% eligibility screening before every filing
Automated bulk filing — 700+ disputes/day
Human review on every claim, every time
Impersonal — no real relationship with your team
Dedicated team · In-person or online meetings available
PE-backed profit extraction model
Provider-first mission — we work for you
Your reputation at risk from careless filings
Your reputation protected, not put at risk
Who We Serve

Built for independent specialists.

The providers most impacted by insurer underpayment — and most underserved by existing solutions.

🚨
Emergency Medicine
459%
median award above QPA
Independent ER groups not employed by hospital systems. Highest volume of OON encounters.
💉
Anesthesiology
$36K+
avg monthly recovery per group
Independent anesthesia practices often OON by design. Consistent high-value claims.
🩻
Radiology
535%
median IDR award above QPA
Independent radiology groups with high claim volume and strong IDR win rates.
🧠
Neuromonitoring
23×
median award above QPA
The highest IDR win multiplier of any specialty. Enormous recovery potential per claim.
🚁
Air Ambulance
High
per-claim value
Large per-claim values and strong federal IDR protections. High-value disputes.
🔬
Pathology & Surgery
$0
upfront cost to you
Assistant surgeons, pathologists, and other specialists routinely underpaid on OON claims.
4.8M
Total disputes filed through federal IDR portal through 2025
88%
Provider win rate in 2025 — highest ever recorded
$5B+
Total IDR market value — accelerating every quarter
40+
States where federal IDR applies — ArbMD serves them all
Coverage

Nationwide from day one.

ArbMD serves independent providers across all 50 states through the federal IDR portal. One process. One team. Nationwide results.

FEDERAL IDR
🇺🇸
All 50 States
The federal No Surprises Act IDR process applies to self-funded ERISA plans in every state. ArbMD files through the CMS federal portal — serving providers from coast to coast.
MEETINGS
🤝
In-Person or Online
We meet providers wherever they are — in person or via video call. Our team is available nationwide for onboarding, audits, and ongoing support.
REMOTE
💻
Work Anywhere
Our fully remote filing capability means we can onboard, audit, and file for providers in any state — no travel required. You focus on patients. We handle everything else.
HIPAA
🔒
Fully Compliant
Every engagement is governed by a signed Business Associate Agreement. Your patient data is handled with full HIPAA compliance across every state we serve.
Get Started

Stop leaving money behind.

Enter your email and we'll schedule a free 15-minute call to review your out-of-network exposure. No commitment. No cost. Just answers.

Or call us directly  ·  hello@arbmd.com  ·  Nationwide coverage · All 50 states