No Surprise Bill

Who We Are
We are No Surprise Bill, LLC—specialists in navigating the financial challenges and opportunities brought about by the No Surprises Act. Founded in 2023 and based in Denver, Colorado, our team is dedicated to helping healthcare providers protect and maximize revenue through expert handling of out-of-network billing complexities. We combine AI‑enabled technology with seasoned subject-matter expertise, including Six Sigma Black Belt process optimization, to support practices in accelerating revenue recovery and reducing leakage from commercial payors.

What services we offer
Our comprehensive service suite is structured around three core pillars:

Independent Dispute Resolution (IDR) / No Surprises Act Billing
We guide providers through the entire NSA IDR process, from filing claims to negotiating outcome—including federal and state arbitration. Leveraging proprietary AI tools, we consistently achieve high success rates and substantially improved reimbursement versus traditional methods.

Payor Negotiation
We possess deep payer relationships and a strategic approach to contract renegotiation. By analyzing payer assumptions and practice priorities, we negotiate ahead-of-market rates and terms, ensuring providers capture additional value from commercial contracts.

Out-of-Network Claims Processing & Balance Billing Patient Support
We streamline out-of-network billing operations using technology and expert workflows. Our balance billing support ensures patient communications are compliant and transparent, reducing friction and preserving patient goodwill.

Additionally, we provide Revenue & Reimbursement Accelerators, focusing on net revenue growth, contract optimization, and practice profitability. Through tools like Profit Scanner, we identify operational levers for practices to thrive without overburdening providers.

Who We Serve
We support a wide spectrum of healthcare organizations grappling with No Surprise Act impacts:

Air ambulance and emergency-service providers

Anesthesiology and radiology groups

Critical-care departments and hospital systems

Behavioral health providers

Revenue cycle management vendors

Regardless of specialty or size, our clients depend on us to protect revenue integrity, streamline out-of-network processes, and efficiently navigate regulatory complexities.

Vision Statement
To redefine revenue safeguarding for healthcare providers by combining best-in-class technology, strategic negotiation, and legal-adaptive mechanisms—empowering them to be financially resilient, patient-first, and future-ready in a post-No Surprises Act world.

Mission Statement
Our mission is to equip providers with turnkey solutions that capture lost revenue, streamline billing complexities, and protect patients—all through a value-driven, technology-enhanced approach that reduces administrative strain and maximizes sustainable reimbursements.

Why Choose Us
Specialized NSA Expertise: We are among the few organizations with deep experience in the No Surprises Act, with proven success navigating IDR negotiations and payer negotiations.

AI-Enabled & Process-Driven: Our blend of proprietary tech, Six Sigma-led workflows, and seasoned negotiators delivers rapid, scalable revenue results.

Rapid ROI: Clients commonly see 6–8× ROI, 2× reimbursement per claim, and realized additional revenue within 45 days.

High Performance: We have captured over $1 billion in strategic revenue and $150 million specifically from NSA processes, delivering average 15% revenue uplift.

Patient-Centric Approach: Our balance billing support ensures patient communications remain compliant and respectful—preserving trust while protecting revenue.

Industry Experience
Although recently founded, we bring substantial collective experience across healthcare financial strategy, payer negotiations, EHR implementations, and RCM innovations. Based in Denver, we support hospital-based and specialty providers nationwide. Our leadership includes executives with backgrounds in multi‑billion-dollar healthcare operations, ensuring our solutions are scalable, practical, and outcome-driven. Our rapid success, strong ROI metrics, and emerging thought leadership positions us as a trusted guide for modern providers navigating surprise billing regulation and payer strategies.