Screen honestly
A high decline rate can be a sign of discipline. Not every underpayment belongs in federal IDR.
Who we are
IDR is not an add-on here.
It is the entire practice.
Astra was built for the narrow, difficult space between payer payment and provider reimbursement.
WHY ASTRA
Specialization creates leverage.
Independent dispute resolution combines revenue cycle data, procedural rules, market evidence, and relentless deadline control. Generalist workflows tend to break at the seams. Astra keeps those disciplines under one roof.
We work alongside provider organizations and billing teams rather than asking them to become arbitration operators themselves.
Write for the claim
Case-specific facts beat generic submissions. The argument has to match the service and market.
Show the work
Clients should know what is in review, what was filed, what is blocked, and what was decided.
How we work
Direct access to the people responsible for the work.
Senior reviewBefore anything is filed
One working teamScreening through decision
Plain answersFrom the people on the case