MagicIntel
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Federal & State Independent Dispute Resolution

IDR, from underpayment to collected cash.

MagicIntel manages the complete IDR lifecycle: from claim qualification and open negotiation through offer strategy, filing, determination, and payment reconciliation.

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Compliance
SOC 2 Type II Report available on request HIPAA compliant BAA executed before any PHI
IDR Performance Overview Filings Payments Live · Q2 to date
Provider win rate 95.5% vs 63.2% public IDR median
Offer-to-award variance +18.2% awards above initial offer
Determined dollars $4.62M 1,146 determinations
Collected dollars $3.87M 83.8% of determined
Performance by payer
Aetna 97% Blue Shield of California 96% MultiPlan 95% Cigna 93%
Active filing deadlines
Open negotiation closes · Blue Shield of California2 days Federal IDR initiation · Aetna6 days Additional information due · Cigna9 days State IDR filing · MultiPlan14 days
Opportunity identified MultiPlan settles in open negotiation far more often when the opening offer sits within 9% of the QPA. 38 active cases match that profile and have not yet been offered.

An IDR determination is only one step in the revenue cycle.

Recovery is lost in six predictable places. Most of them sit before a case is ever filed, and one sits after the win.

Stage 01 Underpaid claim received Never identified as eligible
Stage 02 Qualification & routing Routed to the wrong process
Stage 03 Open negotiation Window missed or unworked
Stage 04 Offer & evidence Offer unsupported by data
Stage 05 Filing & management No cross-payer visibility
Stage 06 Determination & payment Award never tracked to cash
Stage 01Eligible claims never identified

Underpaid out-of-network claims sit in denial and adjustment queues without ever being screened against federal or state IDR criteria.

Stage 02Incorrect federal or state routing

Plan type, funding status, and state law decide the route. A wrong call closes the case on a technicality rather than on the merits.

Stage 04Weak or unsupported offer strategy

Offers submitted without comparable determinations, payer history, or documented rationale invite the lower number to prevail.

Stage 03Missed negotiation and filing windows

Open negotiation and initiation deadlines run in parallel across payers. One lapsed clock ends a viable claim permanently.

Stage 06Determinations not tracked to payment

A favorable determination is not cash. Without reconciliation, short payments and late payments go unchallenged.

Stage 05No visibility across payers and cases

Spreadsheets and portals hold fragments. Nobody can answer what is filed, what is due, and what is owed in one view.

The Audit

See how your current IDR program performs before changing anything.

MagicIntel analyzes public IDR outcomes to identify patterns in payer performance, offer strategy, eligibility, filing behavior, and outcomes. We then validate the opportunity before recommending a pilot.

IDR Audit · sample output Public data · 6 sections · 1,208 prior cases Prepared for review
01 · Performance versus comparable providers
Your win rate71.3% Cohort median (same specialty mix)63.2% MagicIntel standard95.5%
02 · Outcomes by payer
PayerCasesWon
Aetna41286%
Blue Shield of California34176%
MultiPlan26859%
Cigna18748%
03 · Offer versus prevailing amount
Median opening offer214% of QPA Median prevailing award187% of QPA Cases opened above 260% of QPA prevail materially less often in this cohort.
04 · Volume and trend changes
Filings, 6 quarters+22% QoQ
Dashed line: cohort filing volume over the same period.
05 · Eligibility and closure patterns
Closed for ineligibility14.8% Cohort median9.1% Closed for late initiation4.2% Withdrawn before determination6.7% Closure reasons concentrate in two payers and one state process.
06 · Potential workflow opportunities
Screen adjustment queues for eligibility before write-off. Re-check state versus federal routing for one plan type. Track determinations to payment with a reconciliation step.
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How It Works

Every stage of IDR, in one accountable workflow.

Five stages, one owner. Each stage below lists what MagicIntel actually does at that point in the claim's life.

01 Qualify

Identify eligible claims and determine federal, state, or alternative recovery routing.

·Eligibility screening across denial and adjustment queues ·Plan type and funding status verified before routing
02 Negotiate

Initiate and manage open negotiation while preserving every deadline.

·Payer correspondence and offer exchange logged per case ·Every 30-business-day window and initiation clock monitored
03 Build the case

Prepare evidence, analyze payer behavior, and develop the offer strategy.

·Evidence packages and position statements prepared ·Offer positioned on payer history and prevailing amounts
04 File and manage

Handle submission, batching, documentation, fees, and status tracking.

·Batch construction, fee handling, and portal status ·Dispute management with escalation when a case stalls
05 Reconcile

Track the determination through payer payment and collected cash.

·Determinations matched to the payment received ·Short and late payments flagged and pursued
Negotiation closes in 2 days · Blue Shield of California Batch 26-07 · 14 claimsSubmitted Determined $28,340Paid $28,340

Know what is working, where revenue is stuck, and what happens next.

Dispute operations Filters
Active disputes1,336
Eligibility rate41.3%
Avg offer variance+18.0%
Awaiting payment$6.70M457 determinations
Active disputes 5 of 1,336 shown
CasePayerRouteStageDueAmountStatus
IDR-26-4679Blue Shield of CaliforniaFederalOpen negotiation1 d$8,540Deadline near
SDR-26-4772Blue Shield of CaliforniaState (CA)Open negotiation1 d$4,000Deadline near
IDR-26-4681Blue Shield of CaliforniaFederalOpen negotiation1 d$12,950Deadline near
IDR-26-4792AetnaFederalOpen negotiation1 d$8,760Deadline near
IDR-26-4757CignaFederalOpen negotiation1 d$4,780Deadline near
Upcoming deadlines
Negotiation close · Blue Shield of California1 dNegotiation close · Blue Shield of California1 dNegotiation close · Blue Shield of California1 dNegotiation close · Aetna1 d
Payer-level performance
Aetna97%Blue Shield of California97%MultiPlan94%Cigna93%
Collected versus outstanding
Collected $45.45MOutstanding $6.70M
87.2% of determined dollars collected
Live case data · Synced 12 minutes ago

Built for high-value out-of-network claims.

Emergency Medicine

High out-of-network volume, tight negotiation windows, and payer behavior that varies by facility and state.

Facility and professional claims routed separately where requiredBatching rules applied across same-payer, same-service cohortsDeadline monitoring across concurrent open negotiations These are the provider categories our work is built around and intended for. They are not a customer list.
The Pilot

Keep your current operation. Give us a cohort to prove ourselves.

You define the cohort: one payer, one specialty, one facility, or a single workflow stage. We run it for a fixed period against the baseline you set, and the numbers decide what happens next.

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1
Benchmark

Agree on a measurable opportunity using public and operational data.

2
Pilot

MagicIntel handles a defined group of claims, payers, or workflow stages.

3
Compare

Measure eligibility, outcomes, cycle time, administrative effort, and collected cash against the current process.

Security

Built for sensitive healthcare financial workflows.

The audit needs no PHI. Case work does, so MagicIntel operates under SOC 2 Type II controls and HIPAA-compliant handling, with a Business Associate Agreement executed before any claim data moves.

SOC 2 Type II HIPAA compliant BAA executed before PHI
Intake Secure document exchange De-identified aggregates for the audit. Claim data only under an executed BAA, over an encrypted channel.
Processing Role-based, least-privilege access Case work is scoped to the operators assigned to it, under SOC 2 Type II access controls.
Retention Defined retention and disposal Encryption in transit and at rest, with retention periods and deletion terms set in the contract.
Business Associate AgreementExecuted before any PHI is received.
Encryption in transit and at restIndustry-standard encryption on every channel and store.
Role-based accessLeast privilege, reviewed on a defined cadence.
Data-retention controlsRetention periods and disposal terms per engagement.
Secure document exchangeNo PHI by email; exchange runs through the secure channel.

Security documentation, including our SOC 2 Type II report and BAA template, is available to your security and compliance teams on request.

FAQ

Questions a revenue-cycle team should ask us.

Do we need to replace our current IDR or RCM partner?

No. Most engagements begin as a limited pilot on a defined cohort of claims, payers, or workflow stages while your current operation continues unchanged. Any broader change is a decision you make after the comparison, not a condition of starting.

What does the initial audit include?

A read of published federal and state IDR outcomes relevant to your specialty and payer mix: outcome patterns by payer, offer positioning relative to prevailing amounts, eligibility and closure patterns, filing volume and trend, and the workflow points where recovery appears to be lost. Findings are directional until validated against your data.

Do you need PHI for the initial analysis?

No. The initial audit uses public IDR data and, optionally, de-identified aggregate counts you choose to share. PHI is only involved once a pilot is agreed, under a Business Associate Agreement and the minimum necessary scope.

Do you support federal and state IDR?

We work both federal No Surprises Act IDR and state dispute processes where the claim qualifies. Routing depends on plan type, state law, and service setting; the routing decision is documented per claim so it can be reviewed.

How does a limited pilot work?

You define the cohort: a payer, a specialty, a facility, or a workflow stage such as open negotiation only. We agree the measures up front: eligibility rate, outcome mix, cycle time, administrative effort, and collected cash. The pilot runs for a fixed period against a baseline you set.

What happens after a payment determination?

A determination is not the end of the work. We track each award to payer payment, reconcile the amount received against the amount determined, flag shortfalls and late payments, and document the escalation steps taken when payment does not arrive.

How is pricing structured?

Pricing is agreed before a pilot begins and is scoped to the work involved. Structures vary by volume, claim value, and which stages we handle; we will put the specific structure in writing rather than quote a rate that does not fit your book.

What data is required to begin?

Nothing beyond your specialty, payer mix, and states to produce the public-data audit. To validate the opportunity we typically need de-identified claim-level fields such as allowed amount, billed amount, payer, plan type, service date, and current status.

Which provider specialties do you support?

Our work centers on high-value out-of-network claims: emergency medicine, anesthesiology, radiology, pathology, and air ambulance are the categories we are built around. Other provider groups are assessed case by case during the benchmark; we will say plainly if a book is not a fit.

Find out what your current IDR process may be missing.

Start with a no-PHI review of your public IDR performance. If the data shows a credible opportunity, we will design a limited pilot around it.

Public-data audit returned for review, not a sales call. No PHI, no system access, no commitment to begin. If the numbers do not support a pilot, we will say so.
Get your free IDR audit

Leave your name and contact details and we will get in touch to scope the audit — your specialty, payer mix and the states you bill in. Nothing about patients, at any stage.

Request your audit No PHI, no system access, no commitment. We will never request patient information through this form. Prefer email? hello@magicintel.ai.