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Insurers are underpaying you. We make them pay it back.

Resolute finds every claim your payers shorted, files the disputes, and recovers the difference under the No Surprises Act and Texas SB 1264. You pay nothing unless we win.

Industry partners we've worked with

What we do

Recover every dollar your payers owe you

We identify, dispute, and recover underpaid claims so your team doesn't have to

All Claims

Flagged for IDR

  • CLM-48201

    BCBS Texas - 22d left

  • CLM-48198

    United HC - packet ready

  • CLM-48180

    Filing window closed

  • CLM-48191

    Aetna - 70% reviewed

  • CLM-48184

    Humana - evidence sent

All Claims

Flagged for IDR

  • CLM-48201

    BCBS Texas - 22d left

  • CLM-48198

    United HC - packet ready

  • CLM-48180

    Filing window closed

  • CLM-48191

    Aetna - 70% reviewed

  • CLM-48184

    Humana - evidence sent

Workflow Automation

Underpaid Claim Identification

We parse your 835 remittance files and flag every claim that qualifies for IDR. No claim slips through the 30-day filing window.

835 Parsing

Eligibility Engine

Real-time Alerts

White Glove

End-to-End Dispute Management

Our IDR specialists prepare, file, and manage every dispute under Federal NSA and Texas SB 1264. Your billing staff doesn't touch it.

Documentation

Arbitration

Payer Negotiations

What can I help with?

Draft disputes, prep evidence, or check status — just ask.

|

Add document

Add evidence packet

Analyze QPA

Draft brief

Cite precedent

What can I help with?

Draft disputes, prep evidence, or check status — just ask.

|

Add document

Add evidence packet

Analyze QPA

Draft brief

Filing for TDI...

ER

Anes

Rad

Filed

Hearing

Awarded

Filing for TDI...

ER

Anes

Rad

Filed

Hearing

Awarded

Specialists

Texas SB 1264 Expertise

Most firms only handle Federal IDR. Resolute wins under both — and Texas alone has five years of public outcome data we use to your advantage.

Dual-track

TDI data

ER-focus

Custom Projects

Free 24-month Recovery Audit

Before you commit to anything, we review your last 24 months of remittance data and show you exactly how much you can still recover.

No Commitment

Free

2-week turnaround

Hey Dr. Chen!

Here is your 24-month recovery audit

Active audit:

835 remittance scan

90% Finished

Schedule

Mo

Tu

We

Th

Fr

Sa

Su

Discovery call

10:00 am to 10:30 am

Onboarding call

06:00 pm to 06:30 pm

Hey Dr. Chen!

Here is your 24-month recovery audit

Active audit:

835 remittance scan

90% Finished

Schedule

Mo

Tu

We

Th

Fr

Sa

Su

Discovery call

10:00 am to 10:30 am

Onboarding call

06:00 pm to 06:30 pm

Our Process

From remittance file to recovered revenue

A transparent four-step process. You hand us your 835s. We handle everything else.

Step 1

Secure 835 Ingestion

We connect to your remittance feed inside a HIPAA-compliant AWS environment. Encrypted at rest and in transit. Patient data never leaves a controlled zone.

Our solution

Your stack

Step 2

Eligibility Analysis

Our rules engine flags every claim eligible under Federal NSA or Texas SB 1264. We catch what your team misses and never miss the filing window.

Analyzing Claim Attributes…

Network check

Pathway match

QPA delta

Neg. window

Filing Clock

Step 3

End-to-End Dispute Filing

Our specialists prepare evidence, select arbitrators, and manage payer negotiation. You see every status update in real time.

  • class DisputeFiling:
    def __init__(self, claim_id, pathway):
    self.claim_id = claim_id
    self.pathway = pathway
    self.stage = "drafting"

    def advance(self, evidence_ready):
    if evidence_ready:
    self.stage = "filed"
    return "Filed with IDR entity!"
    else:
    return "Building evidence packet."
    def get_status(self):
    return f"Status: {self.status}"

  • class DisputeFiling:
    def __init__(self, claim_id, pathway):
    self.claim_id = claim_id
    self.pathway = pathway
    self.stage = "drafting"

    def advance(self, evidence_ready):
    if evidence_ready:
    self.stage = "filed"
    return "Filed with IDR entity!"
    else:
    return "Building evidence packet."
    def get_status(self):
    return f"Status: {self.status}"

Step 4

Recovery & Reporting

Recovered funds flow directly to your practice. We invoice our contingency percentage only after you're paid. If we lose, you owe nothing.

Payout System

Direct to your practice

Billing System

Pay only on win

Reporting System

Live dashboard

Benefits

Why physician groups choose Resolute

Discover how AI automation enhances efficiency, reduces costs, and drives business growth with smarter, faster processes.

Recover Six Figures Annually

Most freestanding ERs and specialty groups have $100K+ in unrecovered underpayments sitting in their last 24 months of remittances.

Zero Risk

Contingency-only. You pay nothing unless we recover money for you.

Zero Staff Burden

Your billing team continues their existing workflow. We integrate at the remittance layer.

HIPAA-Compliant Architecture

Three-zone security model. Patient identifiers tokenized via HIPAA Safe Harbor before any AI analysis.

Texas + Federal Coverage

The only platform built for both No Surprises Act and SB 1264 disputes.

Compliance-First Approach

We win the right way. No aggressive tactics that put your practice in payer litigation crosshairs.

FAQs

We’ve Got the Answers You’re Looking For

Quick answers to your IDR questions.

How does the free 24-month audit work?

What does Resolute cost?

Is this HIPAA-compliant?

Do I have to switch billing vendors?

What specialties does Resolute serve?

Find out what your payers owe you.

Free 24-month audit. No software to install. You only pay when we recover

HIPAA Compliant · © 2026 Resolute

All right reserved

HIPAA Compliant · © 2026 Resolute

All right reserved