Federal IDR windows can close 30 business days after payment. Most practices never file.
ASTRA IDRReview my claims

Federal IDR, built for revenue cycle teams

Every eligible claim deserves a serious argument.

Astra turns underpaid out-of-network claims into disciplined disputes—screened, timed, argued, and tracked by specialists.

Start a claim review See how a file moves
01Claim paid$8,420QPA benchmark
02Case builtMarket contextEligibility · timing · evidence
03DeterminationTracked to closeOne accountable team
CASE-SPECIFIC
Purpose-built forProvider groupsFacilitiesAir ambulanceRCM partners

01 — THE PROBLEM

The plan paid its own benchmark.
That doesn’t make it the right price.

The No Surprises Act created a path to challenge qualifying out-of-network payments. But the path is procedural, time-sensitive, and difficult to operate at scale.

Where revenue leaks

Four ways a practice loses before the merits are heard.

None of them are clinical. All of them are operational.

01

Eligibility

Federal versus state rules, service type, timing, and plan status all have to align.

02

Deadlines

Open negotiation and initiation windows are unforgiving. A late claim is a lost claim.

03

Batching

Claims have to be grouped under specific rules—not simply because they share a payer.

04

The argument

A portal can submit a form. It cannot build a case-specific rationale for why the QPA is inadequate.

Astra’s operating model

Not a filing portal.
A dispute operation.

Technology keeps the work organized. Specialists decide what is worth filing, build the submission, and stay accountable through determination.

Why we only do IDR
Screen before filingDecline claims that do not clear the rules or economics.
Argue beyond the QPABuild claim-specific context from the facts that matter.
Control every clockTrack negotiation, initiation, offers, and follow-up.
Handle data deliberatelyUse a BAA and secure claim-transfer process before PHI moves.

The workflow

From claims export to determination.

  1. 1

    Send the shape of the portfolio

    Start with an initial, no-PHI intake. We align on service lines, payers, states, timing, and volume.

  2. 2

    Screen for fit and eligibility

    We identify likely federal IDR candidates, exclusions, missing data, and immediate deadline risk.

  3. 3

    File, argue, and track

    Astra manages the operational chain from open negotiation through written submission and determination.

  4. 4

    Measure what came back

    You get a clear record of inventory, status, outcomes, and next actions—not a black box.

Explore the full process

02 — GOOD FIT

Built for teams with a repeatable underpayment problem.

You have out-of-network claims subject to the federal process.

Your team can export claim and remittance data.

Underpayments are meaningful enough to justify disciplined follow-through.

You want specialists, not another queue your billers have to manage.

No PHI needed to start

Find out what your claim inventory may be worth.

Give us the high-level picture. We’ll start with fit, timing, and what data comes next.

Start the review