For medical providers dealing with underpaid claims under the No Surprises Act, arbitration can be a powerful tool for securing the compensation you rightfully deserve. But as disputes arise more frequently, many practices face a key decision: should you manage the arbitration process internally—or turn to a dedicated third-party expert?
At Callagy Recovery Corp, we’ve seen the challenges from both sides. Here’s what you need to consider:
In-House Arbitration: Independence and Risk
Pros:
Familiarity with Your Cases: Your billing or legal team knows the clinical details and the provider’s history firsthand.
Cost Control: At face value, you might believe keeping arbitration internal saves on third-party fees.
Flexibility: Your team can prioritize cases they believe are most impactful.
Cons:
Time Intensive: Arbitration requires strict compliance with deadlines, document production, and legal formatting. It’s a time-consuming distraction from patient care and internal operations.
Steep Learning Curve: Missteps—even minor ones—can result in missed opportunities, denials, or lost awards.
Limited Leverage: Without negotiating experience or established reputations in the arbitration space, providers may receive lower awards or fail to sway IDR entities.
Hiring Experts: Efficiency, Experience, and Higher Returns
Pros:
Streamlined Process: Arbitration experts know the timelines, documentation standards, and how to structure compelling submissions that win.
Data-Driven Strategies: At Callagy Recovery Corp, we analyze carrier behaviors, award trends, and IDR entity patterns to optimize outcomes.
Increased Awards: With experienced professionals advocating for your claims, providers often recover significantly more—even after fees are deducted.
Reduced Burden: Your staff stays focused on patient care while professionals handle the arbitration from start to finish.
Cons:
Fees Apply: Most third-party services charge a contingency or flat fee, though these are often outweighed by increased recovery amounts.
Less Direct Control: While experts handle the process, some providers initially feel uneasy about ceding control—though most quickly appreciate the results.
The Cost-Benefit Reality
Let’s break it down:
A provider may recover 30% more on average through expert arbitration than through in-house submissions, even after fees. That translates to tens—or hundreds—of thousands of dollars over time. Add to that the time savings, fewer headaches, and lower error rates, and the math becomes clear.
Why Callagy Recovery Corp?
We’re not just arbitration professionals—we’re your advocates. Our team fights daily on behalf of medical providers navigating the complexities of the No Surprises Act. With thousands of cases under our belt and a proven success rate, we know how to turn denied or underpaid claims into real revenue.
Don’t leave your revenue to chance.
Let us show you what’s possible when experts are in your corner.
👉 Schedule a free consultation today to see how Callagy Recovery Corp can take the arbitration burden off your plate—and put dollars back into your practice.
Contact Callagy Recovery Corp today, and let’s recover what you’re truly owed.
Call us at (201) 261-1700 or visit callagyrecovery.com