Helping Doctors Get Paid Fairly For Their Work.

    Out-of-network reimbursement has become a data, eligibility, evidence, and follow-through problem. MedRes helps independent medical practices identify underpaid claims, choose the right recovery path, and pursue the money through negotiation, IDR, appeals, payer escalation, and payment tracking.

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    Last year, practices wrote off more than $20B in out-of-network revenue.We made sure none of that was from our clients.

    01

    Build the record

    Payment data, plan context, deadlines, evidence, and payer history.

    02

    Find the right route

    Federal IDR, state process, appeal, escalation, or no-action review.

    03

    Push to collection

    Negotiation, filing support, award tracking, and payer follow-up.

    Helping practices come out ahead. No win, no pay.

    Insurers operate with massive data advantages. Most independent practices are forced to make reimbursement decisions with incomplete information and fragmented workflows. MedRes helps close that gap by turning claim data, payer behavior, and dispute strategy into practical recovery operations. We work on a pure contingency basis: if we don't recover money for your practice, you don't owe us a dollar.

    What we do

    Your focus is medicine. Ours is getting your practice paid.

    Claims discovery and eligibility review

    We identify underpaid claims with recovery potential, screen for federal or state dispute eligibility, and prioritize the cases worth pursuing.

    Review eligibility guidelines

    Dispute resolution execution

    We run eligible matters from negotiation through submission, final determination, and post-award enforcement.

    See how we run IDR

    Appeals and payer pressure

    We surface underpayment and denial patterns and turn them into appeals, escalation, and payer pressure that move money.

    Explore billing & IDR consulting

    Contract negotiation intelligence

    We analyze payer data to identify where reimbursement is misaligned, then turn that into practical negotiation leverage.

    View rate transparency work

    We don't just advise. We execute.

    Other firms hand you a strategy deck. We run the disputes, file the IDR submissions, push the payers, and follow every case to payment. Strategy is free, execution is our product.

    • We do the work: intake, analysis, submission, follow-up
    • Built around OON claims, IDR, appeals, and payer strategy
    • Designed for practices without a large internal RCM team
    • Hard data behind every dispute and every dollar pursued
    • Contingency-aligned: if we don't recover, you don't pay

    Built for sensitive healthcare workflows.

    We handle claim and reimbursement data through HIPAA-compliant, secure workflows, with business associate agreements in place where required. Your data stays protected while we do the work.

    Stop writing off out-of-network revenue.

    Send us your underpaid claims. We'll tell you what's recoverable, what we'd pursue, and how much is on the table.

    A good conversation covers

    • What you are trying to accomplish
    • Where claim recovery or RCM workflow is breaking down
    • Whether IDR, appeals, negotiation support, or partner services make sense
    Contact MedRes