Providers initiate almost every federal IDR dispute and win the large majority, at multiples of in-network rates. Plans and the TPAs that serve them are the under-served, out-gunned side of a process that was meant to be balanced. Avertyn exists to even that fight — honestly.
Since the No Surprises Act took effect, the volume of federal IDR disputes has vastly exceeded projections, and a handful of well-capitalized provider groups file the majority of them. They win most of the time — often because the plan side missed a deadline, failed to screen eligibility, or never built the QPA-anchored record the arbiter needs. Those are solvable problems. That's the whole thesis.
We anchor every offer to the QPA and the statutory factors — a number the arbiter can defensibly pick — never the smallest number we can get away with. That's why it holds up when one side's figure wins.
The most winnable case is lost by a missed window. We count every regulated deadline so a default loss is a choice, never an accident.
We're priced on defended dollars above the QPA — not a cut of fictional "savings." We have no incentive to inflate a gap, and every automated action is logged and explainable.
Avertyn is for independent and mid-tier third-party administrators, self-funded employers, and payers defending out-of-network disputes under the No Surprises Act. We are firmly on the payer/TPA side of the process — reform-aligned, transparent about the rules as they are, and focused on hard-dollar outcomes rather than theater.
Questions, partnerships, or press: hello@avertyn.com.
A free exposure view shows what you're losing and what a defensible process would recover.