|

Trusted by Hospital Systems & Medical Groups Nationwide

Recover the full value of your out-of-network claims

We automatically identify, negotiate, and arbitrate every eligible out-of-network claim through IDR. Zero upfront cost, maximum recovery.

Dashboard
Dashboard
Dashboard

Why Factorial?

Trusted IDR recovery platform

1

Lead in win-rates with Factorial’s fine tuned AI models

2

Mitigate risk with our no filing fee model

3

Excel with strategies and expert negotiation to ensure you get every dollar you’re owed

4

Experience white-glove service, we handle everything end-to-end

Why Factorial?

Leading IDR recovery platform

1

Lead in win-rates with Factorial’s fine tuned AI models

1

Lead in win-rates with Factorial’s fine tuned AI models

2

Mitigate risk with our no filing fee model

2

Mitigate risk with our no filing fee model

3

Excel with strategies and expert negotiation to ensure you get every dollar you’re owed

3

Excel with strategies and expert negotiation to ensure you get every dollar you’re owed

4

Experience white-glove service, we handle everything end-to-end

4

Experience white-glove service, we handle everything end-to-end

Why Factorial?

Leading IDR recovery platform

1

Lead in win-rates with Factorial’s fine tuned AI models

1

Lead in win-rates with Factorial’s fine tuned AI models

2

Mitigate risk with our no filing fee model

2

Mitigate risk with our no filing fee model

3

Excel with strategies and expert negotiation to ensure you get every dollar you’re owed

3

Excel with strategies and expert negotiation to ensure you get every dollar you’re owed

4

Experience white-glove service, we handle everything end-to-end

4

Experience white-glove service, we handle everything end-to-end

We partner with

Specialties with high OON exposure

  • Private Medical Groups

  • Radiology

  • Anesthesia

  • Emergency Medicine

  • Pain Management

  • Hospital Systems

  • Trauma Surgery

  • Intensivists/Critical Care

  • Pathology & Laboratory Services

  • Cardiology

  • Freestanding ERs

  • Neonatology

Features

End-to-end capabilities for IDR success

Case Identification

Connects to your billing system and identifies every qualifying out-of-network claim based on federal and state regulations

Case Identification

Connects to your billing system and identifies every qualifying out-of-network claim based on federal and state regulations

Intelligent Routing

Routes cases to the right process - federal IDR, state arbitration, or direct negotiation based on jurisdiction and payer

Intelligent Routing

Routes cases to the right process - federal IDR, state arbitration, or direct negotiation based on jurisdiction and payer

Strategic Batching

Optimizes dispute timing and batches cases strategically, while maintaining compliance with all deadlines

Strategic Batching

Optimizes dispute timing and batches cases strategically, while maintaining compliance with all deadlines

Full Lifecycle Management

Handles every step from negotiation, arbitration, documentation, submissions, and payment collection

Full Lifecycle Management

Handles every step from negotiation, arbitration, documentation, submissions, and payment collection

Live Case Tracking

Real-time dashboard to monitor the case status, success rates, and recovery amounts by payer, specialty, and service line

Live Case Tracking

Real-time dashboard to monitor the case status, success rates, and recovery amounts by payer, specialty, and service line

Rapid Resolution

Reduces typical 6-month dispute timelines to 60-90 days through automation and immediate filing, getting you paid faster

Rapid Resolution

Reduces typical 6-month dispute timelines to 60-90 days through automation and immediate filing, getting you paid faster

Pricing

Risk-free revenue recovery

Zero-Risk Model

Success-Based Pricing

We believe in our results. That's why we only get paid when you get paid.

No upfront costs. We take care of all filing and administrative costs, and only earn a % of the revenue we recover for you.

Start immediately with zero upfront costs or financial commitment

Start immediately with zero upfront costs or financial commitment

We cover all IDR filing fees and administrative expenses

We cover all IDR filing fees and administrative expenses

We only earn a percentage of the revenue we successfully recover

We only earn a percentage of the revenue we successfully recover

Clear visibility into all fees and recovered amounts with transparent reporting

Clear visibility into all fees and recovered amounts with transparent reporting

How it works

Full claim resolution, made simple

Step 1

Seamless claim integration

We work directly with your billing company to capture out-of-network claims and identify those eligible for Independent Dispute Resolution.

Step 2

Proven IDR strategy

Our team builds a customized IDR strategy using proven best practices to maximize recoveries and streamline outcomes.

Strategic Claim Analysis

Total Potential Recovery

Based on 1,247 OON claims analyzed over past 12m

$2.4M/yr

Claim Type Analysis

892 eligible claims identified across 47 CPT codes

71.5% eligible

Payer Mix Analysis

3 insurers account for 68% of underpayment volume

38% avg underpayment

Strategic Claim Analysis

Total Potential Recovery

Based on 1,247 OON claims analyzed over past 12m

$2.4M/yr

Claim Type Analysis

892 eligible claims identified across 47 CPT codes

71.5% eligible

Payer Mix Analysis

3 insurers account for 68% of underpayment volume

38% avg underpayment

Step 3

End-to-End Execution

We manage the entire IDR process from start to finish, ensuring all parties stay accountable and every claim moves forward efficiently.

Dispute Tracker

$1.2M

42%

1,800 active disputes

Insurer Response Rate

89%

Avg Response Time

18 days

Cases Requiring Escalation

12 cases

Dispute Tracker

$1.2M

42%

1,800 active disputes

Insurer Response Rate

89%

Avg Response Time

18 days

Cases Requiring Escalation

12 cases

Step 4

Risk-Free Revenue Recovery

You realize new revenue streams that strengthen your bottom line with minimal operational involvement.

Total Recovered (YTD)

$1.2M

+40.2%

Jul

Aug

Sep

Oct

Nov

Total Recovered (YTD)

$1.2M

+40.2%

Jul

Aug

Sep

Oct

Nov

Ready to Recover Your Revenue?

Ready to Recover Your Revenue?