Pivotal Health operates a full-service Independent Dispute Resolution (IDR) platform helping providers secure fair payer reimbursement under the No Surprises Act. It combines automated technology tied to major revenue cycle systems, data analytics that build supporting evidence for disputes, and professional services guiding clients through the process end to end. Clients span specialties with heavy out-of-network exposure, including emergency medicine, anesthesiology, radiology, surgery, air ambulance, and hospitals. What sets Pivotal Health apart is its payment model: it collects fees only after clients are paid, aligning its incentives with provider outcomes. The goal is to restore balance to healthcare reimbursement, equipping providers to navigate an unpredictable payer landscape.
Company Size
N/A
Company Stage
N/A
Total Funding
N/A
Headquarters
New York City, New York
Founded
N/A
Help us improve and share your feedback! Did you find this helpful?
Health Insurance
Dental Insurance
Vision Insurance
Remote Work Options
Hybrid Work Options
Company Equity
Company Social Events
Massachusetts Health & Hospital Association Selects Pivotal Health as Strategic IDR Business Partner TMCnet News [September 24, 2026] | / | Massachusetts Health & Hospital Association Selects Pivotal Health as Strategic IDR Business Partner Pivotal Health (Pivotal), the IDR Authority(TM) and a full-service Independent Dispute Resolution (IDR) platform, today announced a partnership with the Massachusetts Health & Hospital Association (MHA) to bring specialized, responsible IDR expertise and solutions to more than 75 hospital members in the Commonwealth. The partnership comes as hospitals and health systems face growing financial pressure from rising costs and reimbursement that has not kept pace. Against that backdrop, IDR has become an important avenue for pursuing fair payment on certain out-of-network claims. Managing those processes successfully and responsibly, however, requires specialized knowledge, operational resources and a deep understanding of evolving requirements. "The federal IDR process is a crucial tool for protecting patients from out-of-network billing issues, but it can be a complex and challenging process for healthcare providers to navigate," said Dan McHale, MHA's senior vice president of healthcare finance & policy. "Pivotal brings clarty grounded in real-world experience and a proven record of helping Massachusetts providers run compliant IDR efforts." Pivotal will serve as the preferred IDR partner for MHA's membership, working with hospitals and health systems to manage eligible disputes and recover fair reimbursement. The company will also provide educational resources to help members understand how IDR works in practice and stay current as policies and requirements evolve. The partnership builds on Pivotal's recent work with the Healthcare Association Coalition, which selected Pivotal as the exclusive IDR partner for its National Partnership Program. Through that collaboration, Pivotal provides IDR education, solutions and advocacy support to five hospital associations representing more than 350 hospitals nationwide. "IDR has become a critical part of provider reimbursement operations, and hospitals and health systems increasingly recognize its role in protecting financial sustainability," said Max Mangum, CEO and co-founder of Pivotal Health. "Having managed more than 2.5 million IDR claims, we're proud to bring that experience to MHA so their members can get paid appropriately for the exceptional care they provide to patients." Pivotal's technology-enabled platform supports providers throughout the end-to-end IDR process, from identifying eligible claims and preparing submissions to managing disputes and tracking performance. Today, Pivotal partners with more than 200 hospital-based providers nationwide, delivering an 89 percent win/success rate and a 5:1 return on investment. To learn more about how Pivotal helps hospitals and health systems, visit pivotalhealth.ai. About Pivotal Health Pivotal Health is the IDR Authority(TM), helping providers achieve fair reimbursement with its compliant, full-service Independent Dispute Resolution (IDR) platform. Purpose-built to manage the end-to-end IDR process through technology and expertise, Pivotal partners with more than 200 hospital-based providers nationwide to run IDR at scale and reduce administrative burden on their teams. About the Massachusetts Health & Hospital Association The Massachusetts Health & Hospital Association (MHA) serves as the unified voice for Massachusetts hospitals and healthcare providers. Founded in 1936, MHA represents over 100 hospitals, healthcare partners, and patients across the state. Through advocacy, education, and collaboration, MHA's mission is to improve the overall health of the Commonwealth and support providers' efforts to offer high-quality, affordable, and accessible care. View source version on businesswire.com: https://www.businesswire.com/news/home/20260924268028/en/ [ Back To TMCnet.com's Homepage] |
DALLAS, March 26, 2025 /PRNewswire/ -- Ventra Health ("Ventra"), a leading business solutions provider for facility-based physicians, announced today that it has formed a strategic partnership with Radix Health ("Radix"), the innovative No Surprises Act Independent Dispute Resolution (IDR) solutions provider, to help its physician clients optimize out-of-network reimbursement and strengthen their overall payer strategy. Ventra is one of the nation's largest, most sophisticated technology-enabled providers of comprehensive end-to-end revenue cycle management (RCM) services, offering clients access to industry-leading technology, data and analytics, provider education, and payer strategy and contracting
Comprehensive and holistic approach helps providers achieve fair payments and reduce the risk of insurer underpaymentAUSTIN, Texas and LOS ANGELES, Jan. 28, 2025 /PRNewswire/ -- PayrHealth, the industry's leading Complete Payor Management solution, and Radix, the only software-based No Surprises Act Independent Dispute Resolution ("IDR") solution, today announced a strategic partnership to deliver a holistic contracting and reimbursement strategy for healthcare providers, enabling them to maximize revenue while minimizing administrative burden and risk. Passed in 2020, the No Surprises Act has redefined out-of-network reimbursement. The law was created to protect patients from surprise medical bills for out-of-network care. However, payors can now push providers out-of-network and slash allowable amounts for care, effectively lowering reimbursement rates. Radix offers end-to-end claims arbitration through its IDR software on behalf of providers for fair reimbursement at scale