# Teramed Solutions

> Teramed handles open negotiation and federal IDR end to end for out-of-network specialty practices. Teramed covers the CMS and IDRE fees and charges only a percentage of what it recovers. There is nothing upfront, and nothing is owed if a dispute is lost.

Teramed Solutions works with out-of-network healthcare providers in the United States on No Surprises Act payment disputes with health plans: eligibility screening, open negotiation, federal and state independent dispute resolution (IDR), and payment follow-up. It does not represent patients.

Contact: sales@teramedsolutions.com

## Company

- [How it works](https://www.teramedsolutions.com/how-it-works/): The process from forwarded remit to recovered payment
- [Pricing](https://www.teramedsolutions.com/pricing/): Contingency pricing, no upfront cost, CMS and IDRE fees covered
- [FAQ](https://www.teramedsolutions.com/faq/): Common questions about Teramed and the federal IDR process
- [Contact](https://www.teramedsolutions.com/contact/): Get in touch or request a claim review

## Services

- [Federal IDR Submission](https://www.teramedsolutions.com/services/federal-idr-submission/): Expert assistance with the federal Independent Dispute Resolution (IDR) process.
- [State IDR Navigation](https://www.teramedsolutions.com/services/state-idr-navigation/): Guidance and support for state-specific Independent Dispute Resolution mechanisms.
- [Payment Integrity Audits](https://www.teramedsolutions.com/services/payment-integrity-audits/): Proactive audits to identify and recover underpayments from payers.
- [Provider Education & Training](https://www.teramedsolutions.com/services/provider-education-training/): Empowering providers with knowledge on billing, compliance, and dispute resolution.
- [Regulatory Compliance Consulting](https://www.teramedsolutions.com/services/regulatory-compliance-consulting/): Ensuring your practice adheres to all relevant healthcare regulations and acts.

## Guides

- [The Federal IDR Timeline: Every No Surprises Act Deadline, Step by Step](https://www.teramedsolutions.com/resources/federal-idr-timeline/): Every deadline in the federal IDR process, from the payer's initial payment through open negotiation, IDR initiation, offers, determination and payment.
- [Is Your Claim Eligible for Federal IDR? A Pre-Filing Checklist](https://www.teramedsolutions.com/resources/federal-idr-eligibility-checklist/): Check these points before initiating federal IDR. The administrative fee is non-refundable, and ineligible disputes are one of the most common ways it's lost.
- [Open Negotiation Under the No Surprises Act: How to Start and Use the 30 Business Days](https://www.teramedsolutions.com/resources/open-negotiation-no-surprises-act/): Open negotiation is the required first step before federal IDR. When to send the notice, what it must contain, and how to use the 30-business-day period.
- [The Qualifying Payment Amount (QPA): What It Is and Why It Isn't the Final Word](https://www.teramedsolutions.com/resources/qualifying-payment-amount-explained/): What the QPA is, how plans calculate it, what they must disclose, and why an IDR arbitrator must weigh it alongside other factors.
- [Federal vs. State IDR: Which Dispute Process Applies to Your Claim?](https://www.teramedsolutions.com/resources/federal-vs-state-idr/): Some out-of-network claims go to federal IDR, others to a state process. How plan funding, plan location and state law decide which one applies.
- [Navigating the No Surprises Act: A Provider's Guide](https://www.teramedsolutions.com/resources/navigating-the-no-surprises-act-provider-guide/): An overview of the No Surprises Act for healthcare providers: the IDR process, good faith estimates, patient consent, and what it means for out-of-network billing.
- [Understanding Your Rights: How the No Surprises Act Protects Patients](https://www.teramedsolutions.com/resources/understanding-your-rights-no-surprises-act/): A plain-language explanation for patients of how the No Surprises Act protects them from unexpected out-of-network medical bills.

## Reference

- [No Surprises Act & IDR Glossary](https://www.teramedsolutions.com/glossary/): Definitions of QPA, IDRE, open negotiation, batching and related terms