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What type of provider are you?
🔬 Plastic / Reconstructive Surgeon 💉 Anesthesiologist 📡 Radiologist / Pathologist 🧠 Orthopedic / Neuro Surgeon 🚑 Emergency Medicine 🏥 ASC / Hospital / Other
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Step 2 of 6
What type of insurance plan covers most of the disputed claims?
📋 Fully Insured NY Plan BCBS, Aetna, UHC, Cigna, etc. 🏢 Self-Funded Employer Plan Large employer pays claims directly ⚖️ Mix of Both Different patients, different plans ❓ Not Sure We can help identify this
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Step 3 of 6
How old are the underpaid claims you want to dispute?
Last 6 months Recent underpayments 6–18 months Still within federal + NY windows 18 months – 3 years NY state IDR window may apply Mix / Ongoing Range of claim dates
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Step 4 of 6
Have you previously appealed any of these underpayments?
❌ No — Never Disputed Accepted insurer's payment 📝 Internal Appeal Only Filed appeal with insurer ⚖️ Attempted IDR Filed but not resolved favorably 🔄 In Process Now Need help managing existing dispute
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Step 5 of 6
Approximately what is the total amount underpaid across the claims you want to dispute?
Under $10,000 $10,000 – $50,000 $50,000 – $250,000 Over $250,000
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Step 6 of 6 — Your Contact Information
Almost done — how should we reach you?
Primary Payer(s) in Dispute
Additional Details (optional)
Best Time to Call
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