Sponsor Content: Leveraging Privileged Data-Driven Analysis for Pre-Dispute Risk Assessments
- August 08, 2025
Payment conflicts have grown sharply in both volume and complexity—reported provider-payor disputes rose in the first half of 2024 as compared to 2023. Out of network emergency care is especially contentious, as more than one million Independent Dispute Resolution cases were filed last year under the No Surprises Act. Regulators and payors now rely on statistical sampling and extrapolation to pursue overpayment demands, and courts and arbitrators increasingly require each side to back its position with rigorously designed sampling plans.
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