Burnout from paperwork
Administrative work and after-hours EHR time keep pulling doctors away from patients, families, and recovery.
Source: AMA, 2024MedResolutions runs the dispute, appeal, and recovery work most practices don't have the time, data, or appetite to handle. We take underpaid out-of-network claims and turn them into collected revenue.
The healthcare crisis
Administrative work and after-hours EHR time keep pulling doctors away from patients, families, and recovery.
Source: AMA, 2024Providers report more claims are being denied, forcing practices to spend scarce time reworking payment that should have been straightforward.
Source: Experian Health, 2024Private practice keeps getting harder to sustain as payment pressure, regulation, and administrative burden push physicians into larger systems.
Source: AMA, 2025Medical groups are still fighting for the people who keep practices moving, especially clinical and front-office support roles.
Source: MGMA, 2024Why MedRes exists
When a claim is underpaid, the question is rarely just whether the payer got it wrong. The question is whether anyone has the time, evidence, and procedural knowledge to do something about it.
Payers have specialized teams, historical pricing data, automated workflows, and time on their side. Independent practices usually have a billing team already stretched by daily collections work.
Many underpaid out-of-network claims are not unwinnable. They are operationally inconvenient. Without a dedicated workflow, the write-off becomes the path of least resistance.
What changed
The No Surprises Act changed the landscape. For eligible claims, IDR created a path to challenge underpayment, but that path is procedural. It depends on plan type, service category, deadlines, payer behavior, evidence, filing rules, and the economics of pursuing each matter.
In other cases, IDR is not the right route at all. The answer may be appeal strategy, payer escalation, contract analysis, or a decision not to pursue.
What we do
We start with a claim sample, screen for recovery potential, identify the likely route, and explain what is worth pursuing before the practice commits operational energy.
We do not replace a billing department. We handle the matters that need extra judgment, evidence, routing, deadline management, and persistence.
Some claims may fit IDR. Others may need appeals, payer escalation, contract analysis, or a decision not to pursue. The route matters.
Operating principles
We do not make every claim a fight. We identify which claims are worth fighting for, then follow the work through.
A good engagement starts with a direct answer: what is recoverable, what route applies, and whether the economics justify the work.
Today, that means helping practices identify and pursue underpaid claims through negotiation, IDR, appeals, payer escalation, and payment follow-up. Over time, it means better triage, better payer intelligence, better evidence packages, better routing decisions, and better tracking from underpayment to collection.
Claim and reimbursement data deserve disciplined workflows. MedRes is built around secure handling, minimum necessary access, and business associate agreements where required.
Talk through a payer issue