No Surprises Act Specialists

The Revenue You Earned.
The Advocacy You Deserve.

Specialized IDR representation and revenue recovery for out-of-network providers. A clear path through the federal IDR process.

Focused on Accuracy, Compliance, and Outcomes

Your Total Recovered

$1,312,655.79

Claim #20248492+$58,991.92
Claim #20248470+$32,110.15

We manage the filing, deadlines, and documentation so you can focus on care.

Speed

Timely filings that keep you compliant with federal deadlines.

Compliance

Every submission aligned with No Surprises Act requirements.

Transparency

Clear tracking so you always know where your case stands.

Your success is our mission

Our Expertise

Total Revenue Cycle Defense

We go beyond simple billing. We are a specialized task force for your most difficult claims.

Federal IDR Filing

We handle the federal dispute process end-to-end—precisely, compliantly, and with a relentless focus on getting you paid. Turning a complex federal process into predictable reimbursement.

Denial Management

We don't just track claims — we resolve them. Our denial management and AR claims services are designed to recover revenue, reduce write-offs, and keep your cash flow steady.

Underpayment Audits

At JC Arbitrations, we streamline the entire revenue cycle so providers can maximize collections and minimize administrative burden. Our RCM services cover every step from patient intake to final payment

Out-of-Network Negotiations

We specialize in negotiating fair payments for out-of-network claims. Our goal is to protect your revenue while reducing the stress of payer disputes

New York State IDR Filings

We file New York State Independent Dispute Resolution (IDR) cases on your behalf. Under New York's balance billing protections, providers can challenge out-of-network payment disputes through the state's IDR process. We manage the entire filing so you can focus on patient care.

Provider Credentialing

We streamline the provider credentialing process so your practice can join payer networks quickly and compliantly. Credentialing is the essential step that verifies a provider's qualifications, licenses, and background before payers approve participation. We manage the details so you don't get stuck in paperwork

Who We Serve

Specialized for High-Acuity Experts

We understand the unique coding complexity and billing challenges of high-value specialties.

Orthopedics

Spine, Joint, and Sports Medicine

Neurosurgery

Complex Spine & Cranial

Plastics

Reconstructive & Trauma

Surgery Centers

OON Facility Fees

Anesthesia

Pain Management & O.R.

Emergency Med

ER & Trauma Groups

Federal IDR – Step-by-Step Process

When an out-of-network claim is underpaid or denied, JC Arbitrations helps you navigate the Federal IDR process under the No Surprises Act. Here's how it works:

Step 01

Services Rendered

Patient receives care from an out-of-network provider.

Step 02

Initial Payment or Denial

Within 30 days, the payer must issue either a payment or a denial.

Step 03

Open Negotiation (30 Days)

If the payment is unsatisfactory, the provider can initiate a 30-day negotiation window with the payer.

Step 04

IDR Initiation (4 Days)

If no agreement is reached, either party has 4 business days to initiate the Federal IDR process.

Step 05

IDR Entity Selection (3 Days)

Both parties must agree on a certified IDR entity within 3 business days.

Step 06

Best Offer Submission (10 Days)

Each side submits a final payment offer and supporting documentation.

Step 07

Arbitrator Decision & Payment (30 Days)

The IDR entity selects one offer. The losing party pays the arbitration fee, and the payer has 30 days to issue payment.

Common Questions

Guidance for the independent practice.

The NSA prohibits balance billing for certain services and establishes the Independent Dispute Resolution (IDR) process. Without a proactive strategy, your reimbursements are capped at the Qualifying Payment Amount (QPA) — often significantly lower than your billed charges. We use the IDR process to fight for fair market rates.

Let's Start the Conversation

Ready to recover what you're owed? Reach out to our team and let's discuss how we can help maximize your revenue.

Get in Touch

Serving Providers

New York

Why Choose JC Arbitrations?

  • No Surprises Act specialists with proven results
  • Transparent, client-focused approach
  • Fast response times and dedicated support

Stop Leaving Revenue on the Table

Every day a claim sits in limbo is a day you aren't being compensated for your expertise. Let's start the recovery process today.