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

How a file moves

One chain of custody.
No orphaned deadlines.

Federal IDR is a sequence. Astra manages the sequence as one accountable operation.

01

Claims pull & eligibility screen

We map plan type, service, geography, payment date, notice requirements, and the governing federal or state pathway. Claims that do not fit are declined early.

02

Open negotiation

Astra organizes the notice and tracks the 30-business-day negotiation period. The goal is resolution; the system is prepared for escalation.

03

IDR initiation & entity selection

Eligible disputes are initiated during the federal filing window, batched under the applicable rules, and moved through certified IDR entity selection.

04

Offer & written submission

We assemble the offer, market context, provider and service facts, and a case-specific explanation of why the payment should not control the outcome.

05

Determination & collection

Every open matter stays visible through determination. We reconcile the result, surface payment follow-up, and report portfolio performance.

What we need from you

A clean handoff, not a new job for your team.

A usable claims and remittance export

Authorization to act in the dispute workflow

One operational point of contact

A signed engagement and BAA before PHI transfer

Start with portfolio context—not patient data.

Begin claim review