Arista Advantage Highlights
100% physician-focused advocacy
Transparent reporting and real-time updates
Deep expertise in Federal & State IDR rules
No fee until you win and receive your arbitration award
Welcome to the Arista Advantage
Who We Are
The No Surprises Act (NSA)
The No Surprises Act (NSA)
From the Greek word for “excellence,” Arista represents our core commitment — excellence in advocacy, compliance, and outcomes. Arista Advantage was founded to level the playing field between physicians and health insurers. With more than a decade of experience in healthcare revenue cycle management, our team combines expertise, precisi
From the Greek word for “excellence,” Arista represents our core commitment — excellence in advocacy, compliance, and outcomes. Arista Advantage was founded to level the playing field between physicians and health insurers. With more than a decade of experience in healthcare revenue cycle management, our team combines expertise, precision, and compliance to ensure every eligible claim is submitted, tracked, and resolved in accordance with the No Surprises Act (NSA) and all applicable state and federal IDR laws.
The No Surprises Act (NSA)
The No Surprises Act (NSA)
The No Surprises Act (NSA)
The No Surprises Act protects patients from unexpected out-of-network bills — and ensures physicians are compensated fairly for their services.
What It Means for Physicians:
Out-of-network claims may qualify for Independent Dispute Resolution (IDR)
The IDR process allows providers to challenge unfair insurer payments
Each state follows either
The No Surprises Act protects patients from unexpected out-of-network bills — and ensures physicians are compensated fairly for their services.
What It Means for Physicians:
Out-of-network claims may qualify for Independent Dispute Resolution (IDR)
The IDR process allows providers to challenge unfair insurer payments
Each state follows either Federal IDR or a State-run IDR system
Strict timelines apply for Open Negotiation and IDR filing
Why Choose Us
The No Surprises Act (NSA)
Eligible Claims
Unlike mass-submission companies, we pride ourselves on a hands-on, compliant, and transparent approach.
Our Promise:
Precision: Every case is reviewed for accuracy and compliance
Transparency: Detailed, real-time reporting for every claim
Compliance: Full adherence to all Federal and State IDR regulations
Responsiveness: Always reachable — y
Unlike mass-submission companies, we pride ourselves on a hands-on, compliant, and transparent approach.
Our Promise:
Precision: Every case is reviewed for accuracy and compliance
Transparency: Detailed, real-time reporting for every claim
Compliance: Full adherence to all Federal and State IDR regulations
Responsiveness: Always reachable — you’ll never wonder about your case status
Results: We only collect our fee when you win
We don’t just file cases — we advocate for physicians.
Eligible Claims
The Numbers Tell the Story
Eligible Claims
Arista Advantage reviews every claim for eligibility before submission. Common eligible scenarios include:
Out-of-network emergency services
Ancillary or facility-based services at in-network hospitals
Disputes over underpaid commercial claims
Cases denied after Open Negotiation
We ensure each claim meets NSA, CMS, and payer-specific requirements before proceeding to arbitration.
The Numbers Tell the Story
The Numbers Tell the Story
The Numbers Tell the Story
2024–2025 Federal IDR Snapshot:
(based on CMS and HHS data — updated quarterly)
Over 330,000 disputes submitted in 2024
72% of disputes initiated by providers
65%+ of awards favored providers
Top specialties: Plastic Surgery, Orthopedics, OBGYN, and Emergency Medicine
Arista Advantage uses these insights to identify high-success claim types and guide our submission strategies.
Client Portal | Resources
The Numbers Tell the Story
The Numbers Tell the Story
A secure area where clients can:
Upload supporting documents
Track claim statuses and outcomes
Access educational materials and FAQs
Review IDR deadlines and forms