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Federal law already created a path to fair payment, but independent practices aren’t using it.
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  • The No Surprises Act The No Surprises Act, a federal statute, established a federally regulated payment dispute process that allows physicians to challenge inadequate insurance payments on qualifying claims without balance billing patients. For many independent groups, substantial additional reimbursement may already be available through claims they previously wrote off or accepted at face value.

How We Work With Your Practice

Complimentary Claims Review
We analyze your existing claims to identify qualifying disputes and model potential recovery at no cost and no obligation.
We Handle Everything
From negotiation through arbitration, Medical Centers Network manages the full process. Your staff workload doesn’t change.
You Collect Fair Payment
Initial insurer payment arrives within approximately 30 days. Additional payment follows the arbitration decision, typically within four to five months of the original claim.
  • Do you treat patients at in-network hospitals, surgery centers, or outpatient departments?
  • Do you feel current reimbursement undervalues your physicians or midlevels?
  • Do you feel current reimbursement undervalues your physicians or midlevels?

Which Claims Typically Qualify?

  • Out-of-network provider
  • In-network facility (hospital, surgery center, or emergency room)
  • Commercial insurance
  • Excludes Medicare, Medicare Advantage, Medicaid, TRICARE
  • Patient pays only in-network cost-sharing

How the Federal Arbitration Process Works

  • Provider and payer each submit a payment offer
  • A certified federal arbitrator reviews both submissions
  • The arbitrator selects one offer
  • The patient is never involved in the dispute
  • The decision is binding on the payer
Payment Timeline
  • Day 0: Clean claims are submitted through your normal workflow. No operational changes are required from your staff.
  • Day 30 (Approx.): The insurer issues an initial payment based on its calculated rate. This is the starting point, not the final reimbursement determination.
  • Day 30 - 60: Open negotiation period - Medical Centers Network negotiates directly with the payer on your behalf.
  • Day 60 - 120: Federal arbitration process. If negotiation does not resolve the dispute, we manage the full arbitration filing and submission process.
  • Day 150 (Approx.): Final payment received. The arbitration decision is issued and any additional reimbursement is remitted by the payer.
  • Typical total timeline: four to five months.
About Us

Medical Centers Network helps independent physician groups navigate the federal payment dispute process established under the No Surprises Act.

We manage the process from claim identification and open negotiation through arbitration filing and payment follow-through, allowing your practice to continue seeing patients while we handle the administrative process. Although this system was designed to level the playing field, its complexity has historically favored large consolidated groups and PE-backed practices with dedicated internal resources. Medical Centers Network exists to make that same federally established process accessible to independent physician groups. Your existing in-network contracts are not affected. The process applies only to qualifying out-of-network claims performed at in-network facilities.

Request a Review

Request a complimentary practice analysis and a Medical Centers Network specialist will review your claims profile, walk through a practice-specific pro forma, and answer your questions with no obligation.