The claims that hurt aren’t the ones you see coming.
Out-of-network bills, aggressive facility charges, and No Surprises Act disputes now decide whether a self-funded plan has a good year or a bad one. Federal IDR volume has exploded to hundreds of thousands of disputes a year — providers initiate most of them, providers win most of them, and the vendor who repriced the claim is rarely still around when the challenge lands.
The savings number isn't the result. The result is what's still standing after the dispute.
WHAT EQUITASDX DOES
Every dollar examined. Every result defended.
Audits
​
Line-by-line audits that surface billing errors, duplicate charges, and coding discrepancies — recovering overpayments and preventing new ones.
Repricing
​
Out-of-network claims repriced to defensible benchmarks, with negotiation and single-case agreements that resolve before disputes start.
Advocacy
​
When containment touches a member — a balance bill, a dispute, a confusing EOB — our team steps in so your phones don't ring and your groups don't churn.
Contracting
Negotiated resolutions for complex, high-dollar episodes of care — locking in rates and terms before claims ever have room to become conflicts.
IDR
Full representation through the federal IDR process - case preparation and daily advocacy, backed by legal resources at every step.
When disputes can’t be avoided, we win them.
Most cost containment ends where the No Surprises Act begins. EquitasDx is built for what comes after: when a provider takes a claim to federal arbitration, our team prepares the case, makes the argument, and stands behind the plan's position.
​
“The finish is in the process.”
Results like that aren't luck — they're process. Every claim moves through the same in-house sequence: clinical review to establish what the care was, data to prove what it's worth, legal insight to make the result hold. No hand-offs. No positions we can't defend.
Saved on a single IDR case.
$718,725
Fiducia360 - full transparency into your cost containment.
Fiducia360 is the platform EquitasDx runs on — built internally, refined on real claims, and now available to partners who want to see everything: every claim, every action, every dollar of savings, in real time. When a client asks what their cost containment is doing, you show them.
​
And for TPAs, brokers, and stop loss partners who want visibility, Fiducia360 is a fully customizable tool that brings cost containment and transparency in-house — at whatever pace fits.
We're expanding access to select partners.
White-Label
Yours entirely. Your brand, your team, your platform; we support you.
Hybrid
Your brand, our operators. Full visibility, none of the lift.
Full Service
We handle everything. Least lift, same transparency.
​
Priced like an ally.
Our pricing is built to leave more savings with the plan; percentage-of-savings, PEPM, or lease structures depending on your volume and strategy.
And two commitments hold no matter the structure:
Our fee never exceeds what the provider is paid.
Our fee is capped at $50,000 per case.
We will never make more on a claim than the provider who delivered the care.
However large the savings, the plan keeps the rest.