Federal IDR windows can close 30 business days after payment. Most practices never file.

How it works

You make one call. We do everything else

One call. One signature. We do the rest.

Step 1: Connect.

Read-only access to your claims and remittance data. We set it up with you in under an hour. We can see claims. We can’t change, delete, or post anything.

Under an hour

Step 2: Screen.

Every out-of-network claim gets checked for eligibility, deadline, and value. Most don’t qualify. We tell you which ones do and why.

Every day

Step 3: Negotiate.

Federal rules require a 30-business-day open negotiation with the insurer before arbitration. We run it and make one priced offer.

30 business days

Step 4: File.

If the insurer won’t meet a fair number, we file for federal arbitration inside the four-business-day window. We pay the fee. We write the submission.

4-day window

Step 5: Collect.

The arbitrator picks one side’s number. If it’s ours, the insurer has 30 days to pay. We track it, chase it if it’s late, and send your posters a file that matches every payment to its claim.

30 days to pay

Timing depends on the claim, the payer, and the rules that apply to it. Eligibility is screened before anything is filed, and we tell you which claims don’t qualify. See the longer version of the workflow.

Complete security. HIPAA protected. Compliant by design.

Astra is a HIPAA business associate. We sign the BAA before a single record moves, and our access to your system can only ever read. That’s the whole promise, and it’s in writing.

Before anythingSigned BAA first

No data moves until it’s executed.

AccessRead-only. Never write.

We see claims. We can’t alter, delete, or post.

DataEncrypted, in transit and at rest

Every record, every time.

PeopleU.S.-based team only

No offshore access to your claims.

All of it is visible in your dashboard, any time.

Start now

One call. Fifteen minutes.

If it isn’t worth your time, we’ll tell you. The first conversation covers fit, timing, and data readiness, and it needs no patient information.