Out-of-Network Revenue Recovery
Backed by Callagy Law · 30+ years of medical-legal practice · Operating in all 50 states
The Problem
When you treat an out-of-network patient in the ER, insurance carriers are required to pay you fairly under the No Surprises Act. They don't. They lowball. They delay. They count on you missing the federal arbitration deadline — and most practices do.
You have 30 days from payment to file an Offer to Negotiate, and a 4-day window after that to file arbitration. Miss it, and the claim is permanently dead. Most practices simply don't have the bandwidth to track this.
Carriers routinely pay 10–30% of fair market value on OON emergency claims. Without a legal challenge, that's what you keep. Over 90% of eligible claims are never filed.
Billing companies process claims. They don't litigate. NSA arbitration requires legal strategy, deep IDRE relationships, and capital to front filing fees. It's a different game.
How It Works
You keep practicing. We do the work. You only pay when money hits your account.
We review a sample of your recent OON EOBs at no cost. You'll see exactly which claims are recoverable and what they're worth.
Week 1Our legal team confirms eligibility under the No Surprises Act and state Surprise Billing Laws. Only qualifying claims move forward.
Week 2–3We file with the Independent Dispute Resolution Entity, present the case, and fight for fair market reimbursement. We front 100% of filing fees.
Months 1–8Awarded funds flow back to your practice. Callagy Law's collections infrastructure makes sure carriers actually pay — not just lose the ruling.
OngoingWho Qualifies
You're a strong fit if:
Specialties We Serve:
The Numbers
11X Medical Revenue Recovery is operationally powered by Callagy Recovery — the dedicated recovery arm of Callagy Law, founded by Sean Callagy. We don't sell tools. We do the work: filing, arbitrating, collecting, and paying out on contingency.
Why 11X
| In-House Team / Billing Company | General Law Firm | 11X / Callagy Recovery | |
|---|---|---|---|
| NSA arbitration experience | Limited | Variable | Top 10 federal IDR filer |
| Filing fees | You pay upfront | You pay upfront | We front 100% |
| Deadline tracking | Manual / inconsistent | You manage | Fully automated |
| IDRE relationships | None | Limited | Direct, all 13 forums |
| Collections enforcement | Not equipped | Separate engagement | Built-in (Callagy Law) |
| Pricing | Salaries / monthly fees | Hourly | Contingency only |
| Win rate | Unknown | Unknown | 92% |
Common Questions
No. We front all arbitration filing fees and operate purely on contingency. If we don't recover money for you, you owe nothing.
Typical cases resolve within 8 to 9 months from filing to payment. We won't promise faster — recovery follows federally regulated timelines, and anyone claiming otherwise is misleading you.
No. We work alongside your existing billing operation. Your billing team continues doing what they do; we handle the post-payment recovery on claims they've already submitted.
It varies by specialty, OON volume, and carrier mix. On successful arbitrations, recoveries often range from 5x to 14x the original EOB amount. Your free audit will give you a realistic estimate based on your actual claim history.
No. The No Surprises Act explicitly removed patients from the dispute and gave providers a federal right to arbitrate. Using that right is not retaliation-eligible behavior under the law.
No. Once you provide the initial claim documentation, our team handles filings, communications with the IDRE, and the arbitration itself. Your involvement is minimal.
That's a fair question. Many practices we work with came to us after being underwhelmed with previous results. We're happy to do a parallel audit and let the numbers speak.
Yes. The Independent Dispute Resolution process is a federally mandated mechanism created by Congress under the No Surprises Act of 2022. Our legal team operates under direct attorney oversight at every stage.
All 50 U.S. states and territories. We handle both federal IDR (for federally regulated plans) and state Surprise Billing Law arbitration (for state-regulated plans).
Next Step
Book a confidential 15-minute call with our intake team. We'll review your OON claim volume, check eligibility, and tell you — honestly — whether 11X can recover material revenue for your practice.
No pitch. No pressure. Just numbers.