Out-of-network recovery for orthopedic practices.
Orthopedics runs on high-dollar surgical claims and one of the heaviest pre-authorization burdens in medicine. When those out-of-network claims come back underpaid, the dollars are large — and the recovery upside is right there with them.
What we recover for orthopedic practices.
High claim volume plus high per-claim value means out-of-network underpayment adds up fast — quietly, unless someone's watching.
Trauma & emergency orthopedics
Emergency fracture and trauma care carries some of the strongest dispute eligibility and the largest awards.
OON surgery at in-network facilities
Joint, arthroscopic, and spine procedures performed out-of-network at an in-network hospital or surgery center often qualify.
Sports medicine & high-dollar procedures
Implant- and hardware-heavy cases are routinely underpaid relative to their true cost — and routinely recoverable.
Assistant surgeon & referral claims
Out-of-network assistant-surgeon claims and in-network referrals to an OON orthopedist are recognized triggers, especially under state law.
We route each claim to the process that pays.
Some orthopedic claims qualify under the federal No Surprises Act; others under a state program. A claim that doesn't qualify federally may still be recoverable under New York's mandatory dispute resolution or Florida's provider–health plan program. Knowing which road a claim belongs on is part of the work — and part of what generalist billers miss.
We check eligibility first
A free claim review tells you which of your out-of-network claims are worth pursuing — federal or state — before anyone commits to anything.
Defensible, not aggressive
We build claims that hold up. In a category under scrutiny for overreach, that protects your practice as much as it recovers money.
Specialty depth the big shops can't match.
Built for surgical specialties
The national platforms are built for emergency-medicine and radiology volume. We're built for surgical practices, with the clinical fluency to back up the appeal.
One team, start to finish
We run the recovery end to end and stay your single point of contact — with a specialist partner for the formal filing.
The numbers favor providers who fight.
Industry-wide and practice-level figures shown as context. Eligibility and outcomes vary by claim; this is not a guarantee of recovery.