I Am an Attorney Who Does Non-Par Claims Recovery — Not a Billing Company

I am an attorney. Not the contingency kind.

I personally sign every IDR submission that goes out of this office. I deal with DFS as an attorney — on a level playing field.

I started in structured finance at Clifford Chance — one of the five largest law firms on the planet. Fordham Law School, Law Review. Spent nearly twenty years building non-par billing operations in New York. Founded M&D Capital Advisors, M&D Premier Billing, Revenue Targeted Billing. Now Claims Assassins.

What I Know After All of That

Once insurance makes an initial payment on a non-par claim, “billing” effectively ends. What remains is a dispute. And disputes are won through IDR — not through phone calls to insurance company reps who have no authority to change anything.

There is a reason the company is called Claims Assassins and not Claims Billing. Billing is submitting a claim and waiting for a check. That is the easy part. Any competent billing office handles that.

What happens after the check arrives is where the money is. Insurance pays what it wants. You deposit what they send. The gap between what they paid and what the claim is actually worth — that gap is where we work.

State IDR. Federal IDR. DFS enforcement. QPA tolling. Baseball arbitration. That is not billing. That is recovery.

The Attorney Difference

There are billing companies that do IDR. And there are attorneys who do IDR. The difference matters.

When I sign an IDR submission, I am signing as an attorney admitted to the New York Bar. When I deal with DFS, I deal with them as an attorney — on a level playing field. When a payer pushes back, they are pushing back against counsel — not against a billing department.

Insurance companies have legal departments. Their IDR submissions are prepared by attorneys. Their DFS responses are drafted by attorneys. If your side does not have an attorney — you are in a knife fight with a spoon.

Fordham Law. Law Review. Clifford Chance. Nearly twenty years in non-par claims. I am not a billing company that hired a lawyer. I am a lawyer who built a billing operation.

If You Are an Out-of-Network Provider

If you are an out-of-network provider and you are not routing eligible claims through IDR — you are leaving real money on the table. Not a little. A lot.

If your billing company is telling you they “handle IDR” — ask them who signs the submissions. Ask them if they sort fully insured from self-funded at intake. Ask them what the average state IDR award is on CPT 13152 in your geozip.

If they cannot answer those questions — they are doing billing. Not recovery.

The Offer

Send one recent non-par ER claim. No contract. No commitment. If we cannot improve the outcome, no fee.

Direct access to me — anytime, on my personal cell. No call routings. No gatekeepers.

Eliott Dear, Esq.
Founder & CEO, Claims Assassins (EDRTB LLC)
NY Bar #4329546
646-387-9133 | edear@edrtb.com | claims-assassins.com

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