Every claim followed
through, every dollar
accounted for.

NT Healthcare Alliance manages billing, collections, and No Surprises Act dispute resolution for practices who'd rather focus on patients than paperwork.

Get a revenue assessment See how IDR works
A typical out-of-network dispute, start to finish
Claim submitted
Charge captured & billed
QPA review
Payer offer benchmarked
Open negotiation
30-day window managed
IDR filed
Prevailing offer built
Determination
Payment collected
What we do
Billing operations and dispute strategy, under one roof.

Most billing vendors stop at claims. We go further into the arbitration work that determines what out-of-network claims actually pay.

01

Medical Billing & Coding

Accurate charge capture, claims scrubbing, and submission across payers, with denial follow-up built into every cycle.

02

Revenue Cycle Management

End-to-end oversight from eligibility checks through final payment posting, with reporting your team can actually read.

03

NSA / IDR Arbitration

Prevailing-offer preparation, QPA analysis, and full representation through the federal Independent Dispute Resolution process.

04

Denial Management

Root-cause tracking and appeals that recover revenue other vendors write off.

05

Payer Contract Analysis

Rate benchmarking and negotiation support so contracted rates reflect actual market value.

06

Compliance & Reporting

HIPAA-aligned processes and clear monthly reporting on what was billed, disputed, and collected.

Why practices choose NTHA
Arbitration is a specialty. We treat it like one.

Generalist billing companies file IDR disputes as an afterthought. It's a core part of how we operate.

1,000+ IDR disputes managed
30-day Open negotiation window tracked without slippage
100% Federal deadline compliance
A/R Cycle time reduced through active follow-up
Inside the process
What happens after a claim goes out-of-network.

Each stage has a federal deadline. We build our workflow around meeting them, not around catching up.

01
Qualifying Payment Amount review
We evaluate the payer's QPA against market rate data before deciding whether to pursue negotiation or arbitration.
02
Open negotiation
A 30-day window to negotiate directly with the payer. We manage correspondence and hold the line on the deadline.
03
IDR initiation
If negotiation fails, we file with a certified IDR entity and select an arbitrator within the required timeframe.
04
Prevailing offer submission
We build the evidentiary case — market data, complexity factors, provider qualifications — behind your offer.
05
Determination & collection
Once the arbitrator rules, we track payment through to posting and reconcile against the original claim.

Let's see what your out-of-network claims are actually worth.

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