Recover the commercial claims you've already written off

Arbitration.Inc is a neutral, API-driven arbitration forum where hospitals resolve low-balance commercial payer disputes for a fraction of what an appeal or lawsuit costs. Business to business only: hospital versus insurer, never hospital versus patient.

From $10
a case at volume (1,000-case pack). A single case is $99. Document-only, filed by API or online.
14 days
for the payer to respond. If it doesn't, the case can still go ahead on the record.
3 weeks
to a reasoned, written award, in as little as three weeks.
$10,000
per-claim ceiling in the suggested clause.

The problem

Every health system carries thousands of commercial claims a year (underpayments, downcodes, line-item audits, “silent denials”) where the amount in controversy is $400 to a few thousand dollars. At that size, a second-level appeal or outside counsel costs more than the claim, so the balance is adjusted off as bad debt.

What Arbitration.Inc is, and isn't

We are not a denials-management, appeals or collections vendor. We are the forum: a document-only arbitration platform that issues a written award on each claim. Your revenue-cycle team, or the vendors it already uses, file the cases. Our AI decides each case on the record under our published Rules, and either side can add Human Review ($199), where a human arbitrator decides. The side that adds Human Review pays for it.

1

Contract clause (going forward)

A dispute-resolution clause added to the managed-care agreement at renewal, so disputes up to $10,000 go to Arbitration.Inc. It covers the whole book from then on.

2

Backlog pilot (now)

A standalone agreement with one payer to arbitrate an existing schedule of aged, disputed claims. No change to the underlying contract. The fastest way to prove the economics on real inventory.

Why the economics change

Data

Claim files contain patient health information, so we sign a business associate agreement (BAA) with each hospital before any files are shared. Integration is by API; online upload is available for pilots.

What we propose

A 20-minute walkthrough with your revenue-cycle or managed-care lead, then a one-payer backlog pilot on a schedule of claims you have already reserved against.

Greg Levine, COO, Arbitration.Inc
(786) 417-5833 · greg@arbitration.inc · arbitration.inc/enterprise

Arbitration.Inc is a Florida company. Prices: $99 per case; case packs 50 for $2,500 or 1,000 for $10,000; Human Review $199; the respondent pays $30 to respond. Arbitration.Inc does not guarantee the enforceability of any award. Not available where either party is in California. This overview is informational and is not legal advice.