Specialty workflow
Orthopedics and ASC IDR Support
Orthopedic and ASC claims require disciplined facility, network, consent, service, and plan analysis before an IDR pathway is selected.
Separate facility and professional questions
Professional and facility claims may not share the same eligibility facts or payment rule. Each is assessed on its own record.
Deadline control
Operational tracking covers payer responses, negotiation periods, initiation windows, fee due dates, and post-determination follow-up.