Nationwide healthcare reimbursement litigation and arbitration
Recover underpaid healthcare claims nationwide.
Halkovich Law represents healthcare providers and facilities across the United States in No Surprises Act arbitration, insurer underpayment disputes, out-of-network recovery, and reimbursement litigation. More than $1 billion has been recovered for healthcare providers.
Why providers call
Providers lose revenue when insurer disputes stay in the billing queue.
The money is often trapped in partial payments, denied out-of-network claims, missed IDR opportunities, self-funded plan disputes, and aging balances that internal teams do not have the leverage to push into recovery.
- Underpaid claims that never reach a meaningful escalation point
- Denied reimbursements tied to out-of-network services and emergency care
- No Surprises Act disputes that lose value through timing or batching mistakes
- A/R backlogs that mask viable recovery opportunities
- Insurer tactics that convert friction into provider write-offs
Services
Healthcare reimbursement services for providers and facilities.
Commercial insurance disputes
View serviceOut-of-network recovery
View serviceNJ PIP Arbitration
View serviceNJ Workers' Comp
View serviceResults
Scale, specialization, and provider-side alignment are the real proof points.
The firm is retained when provider organizations need sharper legal leverage, clearer recovery strategy, and counsel that understands claim economics as well as dispute procedure.
Recovered for healthcare providers
Provider-side revenue recovery across reimbursement disputes, arbitration, and litigation.
Built for claim sets, not one-off noise
Claims reviewed by payer behavior, legal path, timing, and economic viability.
Healthcare reimbursement only
Provider-side counsel centered on insurer underpayment and reimbursement disputes.
FAQ
Questions healthcare providers ask about reimbursement recovery.
Can a provider challenge an underpaid out-of-network claim?
Yes, if the claim is legally and factually supportable. The available route may be payer appeal, negotiation, No Surprises Act IDR, arbitration, litigation, or another dispute process depending on the payer, plan, service, and deadlines.
What is the NSA IDR process?
The NSA IDR process is the federal independent dispute resolution system for certain out-of-network payment disputes. It generally follows open negotiation and allows each side to submit a payment position to a certified IDR entity.
How long does healthcare reimbursement arbitration take?
Timing depends on the procedure, payer conduct, claim volume, documentation, and any statutory deadlines. Some disputes move quickly after filing; others require more time because eligibility, batching, records, or payer objections must be addressed.
What documents are needed to evaluate underpaid claims?
Useful documents may include EOBs, claim data, payer correspondence, contracts, open negotiation records, denial letters, medical records when relevant, payment histories, and any deadline notices. The exact documents depend on the dispute type.
Is it worth filing a reimbursement dispute?
It may be worth filing when the amount at issue, repeat payer behavior, documentation, deadlines, and legal path support escalation. No result is guaranteed, so the economics and procedural posture should be reviewed before filing.
Next step
Find out whether your organization is leaving recoverable revenue on the table.
Start with the Revenue Recovery Review or request a direct consultation if the matter is already active and time-sensitive.