Avertyn screens out the disputes that never belonged in IDR, defends a QPA you can stand behind, counts every regulated deadline, and files the arbiter-ready offer for you — with a governed agent doing the routine work and a human on every consequential call.
Catches the disputes that never belonged in IDR — untimely initiation, wrong jurisdiction, not-a-qualified-item, batch-cap and duplicate-line failures — inside the 5-business-day window.
A reproducible Qualifying Payment Amount anchored to 45 CFR 149.140, with a defensible ceiling and the six-factor rationale an arbiter can adopt. No black box.
Every regulated window counted — holidays included — with escalations before they lapse. Most default losses are missed clocks, not lost merits. Avertyn closes that gap.
QPA-anchored offers, comprehensive briefs, and filing packets generated from your data, e-signed and arbiter-ready — and submitted for you.
Autopilot for the routine work, with human-in-the-loop approvals, money caps, dry-run, reversibility, and a tamper-evident, hash-chained action ledger. Automation a regulated buyer can trust.
Game-theoretic counter-offers built to settle in open negotiation — the cheapest win — with an acceptance-probability model and a documented rationale.
Batch to the edge of the 50-line rule, cross-specialty where allowed, and select a conflict-aware certified IDR entity with the strongest track record for your case.
Scorecards on which provider groups file against you, how weak their filings are, how each IDRE tends to rule, and win-rate calibration across your book.
Beyond IDR: NCCI/MUE payment-integrity review, reference-based repricing, WC/auto bill review, and ERISA fiduciary tracking — the same engine, more of your book.
Everything is anchored to the QPA and the rules as they are — you win when the number is defensible, not when it's big. See exactly how the process works on the How IDR works page.
A no-card exposure view off a claims export shows your default-loss risk and the pool Avertyn contests, before you commit to anything.