Here at Qualtrate our process includes:
guidance and compliance
Ensuring that the IDR process complies with the up to date applicable laws and regulations.
evidence review
A responsive and equitable approach, anchored in evidence-based reviews by a review team comprised of experienced medical professionals, coders, and arbitrators.
technology underpinning
Leveraging cutting-edge technology to reduce processing times, reduce data input errors, and increase transparency.
arbitration
Neutral arbitrators providing an impartial decision-making process to determine fair and objective IDR determinations.
Privacy and Compliance
Qualtrate prioritizes compliance with healthcare privacy laws including Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH).