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Why AMPS › Out-of-Network Solutions
Out-of-Network Solutions

NSA and IDR expertise that protects plan dollars.

AMPS manages No Surprises Act (NSA) claims and Independent Dispute Resolution (IDR) for out-of-network claims as a negotiation strategy built to protect your plan's dollars from pricing all the way through resolution.

✓Negotiation-first strategy ✓In-house legal & negotiation teams ✓Individual claim evaluation ✓Reference-based pricing methodology
By the Numbers

Results that protect leverage.

Since 2022, our disciplined, negotiation-first approach has delivered measurable savings while keeping disputes rare.

68,000
Claims repriced since 2022
75.5%
Average savings vs. billed charges
<1%
Claims disputed, ~500 since 2022
93%
Resolved before IDR arbitration
Provided by AMPS
Out-of-Network results chart
Visualize the NSA results, pending approved figures: 68,000 claims repriced since 2022 · 75.5% average savings vs. billed charges · ~500 disputes (<1%) · 93% resolved before IDR arbitration.
Our Approach

Five principles that guide every claim.

Our strategy is deliberate, not automated. Each principle is designed to preserve your negotiating leverage and protect plan assets.

1

Negotiation First, Arbitration When Necessary

We resolve disputes through negotiation before escalating, reserving arbitration for the cases that truly require it.

2

Individual Claim Evaluation

Every claim is evaluated on its own merits rather than pushed through an automated workflow.

3

Customizable Strategies

Our approach is tailored to each plan's preferences, not forced into a single model.

4

In-House Legal & Negotiation Teams

Our legal and negotiation work is handled in-house, with no outsourcing, keeping accountability and expertise close to your plan.

5

Reference-Based Pricing Methodology

We anchor to defensible reference-based pricing to preserve negotiating leverage throughout the process.

How It Works

From pricing through resolution.

A negotiation-first path: pricing, then negotiation, then resolution, with arbitration only when required.

01

Pricing

Every out-of-network claim is anchored to our defensible reference-based pricing methodology, preserving your negotiating leverage from the start.

02

Negotiation

Our in-house legal and negotiation teams evaluate each claim on its own merits and resolve disputes through negotiation before escalating.

03

Resolution

93% of disputes are resolved before IDR arbitration, and arbitration is reserved for the cases that truly require it.

What Sets Us Apart

Protecting leverage from pricing through resolution.

Unlike competitors that adopt risk-averse models with higher initial payments, AMPS protects your leverage from pricing all the way through resolution. Our out-of-network service operates alongside your existing claims administration and can integrate with our broader PriceDynamix repricing suite.

Provided by AMPS
Dispute-resolution flow diagram
Negotiation-first path: pricing → negotiation → resolution, with arbitration only when required.
Let's Talk

Protect your plan from surprise out-of-network costs.

Connect with our team to see how AMPS handles NSA claims and IDR while preserving your negotiating leverage.