Capabilities
Data work built for disputes.
We work alongside provider groups and their counsel on No Surprises Act matters. Every analysis is documented, reproducible and built from de-identified data.
- 01
Underpayment audit
Claim-level reconciliation of IDR outcomes against what payers actually paid — identifying unpaid, late and short-paid determinations across a portfolio.
What you receive
- Determination-to-remittance matching across payers and periods
- Unpaid, late (past the 30-day statutory window) and short-paid classification
- CARC/RARC claim code analysis under the 2026 Operations Rule
- Portfolio-level exposure summary suitable for counsel review
- 02
Litigation data support
Expert-ready analyses for counsel in NSA and health care disputes: damages models, eligibility forensics and the data work behind declarations and reports.
What you receive
- Expert-ready analyses with documented, reproducible methodology
- Damages models built from determinations, remittances and fee schedules
- Eligibility forensics: batching, cooling-off, open negotiation and timing
- Data appendices and exhibits prepared for counsel and testifying experts
- 03
Award & payment tracking
Ongoing monitoring of IDR awards from determination to payment, so provider groups and their counsel see enforcement exposure as it develops.
What you receive
- Determination intake and payment-deadline tracking
- Aging reports on outstanding awards by payer and plan
- Escalation-ready case files for awards that remain unpaid
- Periodic reporting aligned to the litigation landscape on The Docket
Verdict Consulting Group provides data and analytics, not legal advice. Engagements are scoped with your counsel, and analyses are prepared to support — not replace — testifying experts and legal judgment.
Start with one portfolio, one question.
A pilot audit scopes a defined set of IDR determinations and reports what was paid, late, short or missing — using de-identified data only.