Federal and State Surprise Bills Present Complexity, but Also Opportunity.
CHRMS manages federal and state surprise billing disputes through a disciplined, end-to-end process – from eligibility analysis and open negotiation through IDR preparation, ineligibility challenges, and post-award enforcement
Every claim and every code is reviewed individually with experienced professionals who develop a tailored strategy based on the facts, regulations, and the payor behavior involved.
We do not rely on automated or AI-driven shortcuts. We manage reimbursement one claim at a time, with human judgment and accountability through final payment.
Not All NSA Service Providers Are the Same
The No Surprises Act has created a new market of vendors offering claims processing, IDR filings, and dispute administration. Many rely heavily on automation, narrow workflows, or limited service models that stop short of full resolution.
CHRMS is different.
We deliver comprehensive, end-to-end NSA and state surprise billing services, built on deep regulatory knowledge, human expertise, and proven processes refined over more than a decade of representing out-of-network providers nationwide. Our work is not complete until your practice is paid.
Comprehensive NSA & State Surprise Billing Services
Successfully recovering payment under the No Surprises Act and state balance billing laws requires far more than submitting disputes. Each claim — and often each code — must be evaluated, routed, defended, and enforced through a highly technical process.
CHRMS manages the entire lifecycle, including:
- Comprehensive NSA & State Surprise Billing Services
- Clinical Coding Audit & Comprehensive Appeals
- Claim Routing & Eligibility Determination (Federal & State)
- Pre-Award Ineligibility & Procedural Challenge Management
- Post-Award Enforcement Until Paid
- Recoupment Defense & Award Integrity Protection
- Human Oversight — One Claim, One Strategy
- End-to-End Accountability Beyond Filing
Our job is not done until your practice is paid.
The CHRMS Difference
- True end-to-end NSA and state surprise billing services
- Comprehensive appeals for denied codes — under NSA and state law
- Human oversight and judgment — not AI-only workflows
- Deep regulatory and legal expertise, built from years of nationwide representation
- Pre-award and post-award responsibility — not limited-scope services
- Active enforcement until payment is secured
CHRMS does not offer shortcuts. We deliver accountability, precision, and results — from first review to final payment.
