IDR services & fee questions

HaloMD vs.
Clearest

HaloMD advertises independent dispute resolution (IDR) services for out-of-network healthcare providers under the No Surprises Act and state balance-billing laws. Compare its public service scope with Clearest’s IDR support, then confirm fees and billing responsibilities for your practice.

What is HaloMD?

HaloMD describes a specialist IDR service using a provider portal, offer analysis, documentation preparation, dispute submission, negotiation, and ongoing reporting. These are HaloMD’s descriptions of its service; confirm which tasks and payment-dispute routes its proposal covers.

Its audience page names anesthesia, emergency medicine, radiology, pathology, critical care, intraoperative neuromonitoring, and air ambulance providers. See the specialties HaloMD serves.

Clearest helps independent practices assess underpayments, prepare evidence, and manage eligible payment disputes. The practice and its biller remain involved in supplying records, authorizing decisions, and confirming receipts. Read Clearest’s service scope.

We wrote this comparison from the public pages linked below. We have not tested HaloMD’s service or verified its results. Where a detail is missing, we mark it unknown and suggest what to ask.

Sources for this service introduction checked .

Who handles each part of the case?

Public service descriptions checked October 1, 2026
DecisionClearestHaloMD
Service scopeEligibility assessment, negotiation, dispute preparation and filing, followed by payment follow-up. Service scopeAdvertises federal and state IDR support, including eligibility assessment, documentation, submission, and negotiation. Service description
Evidence preparationReviews available records and prepares claim-specific supporting materials. Dispute workflowDescribes offer analytics, historical data, and documentation preparation. Evidence approach
Case visibilityReporting scope and payment reconciliation are agreed during engagement. Reporting questionsAdvertises ongoing reporting and analytics on dispute outcomes and trends. Reporting description
PricingRecovery-based pricing; percentage discussed during consultation. Confirm expenses and the fee calculation in writing. PricingA general rate was not publicly disclosed on the reviewed pages. Ask for a quote covering your claims. HaloMD’s website
Your team’s workThe practice supplies records and authorization; the biller continues routine billing and reconciles receipts. ResponsibilitiesDescribes provider submission through its portal. Detailed record-transfer and ongoing billing responsibilities require confirmation. Submission description

Ask for a case walkthrough

Bring the same de-identified claim example to both consultations. Ask each team to walk it through eligibility review, missing records, negotiation, filing, and payment follow-up. Arrange any transfer of actual claim records separately.

  • Who checks the applicable payment-dispute route and documents the decision?
  • Who requests missing records, and who in your practice approves the payment offer?
  • Can your biller see the next action, its owner, and supporting correspondence?
  • How are partial payments, unpaid determinations, and corrected remittances handled?
  • What information is available to export when the engagement ends?

A demonstration is more useful when it distinguishes the amounts claimed, determined, and actually received. Request a sample report and ask how each number reconciles to your billing records. Use the payment reconciliation guide to organize those questions.

What would you actually pay?

A percentage alone does not tell you the cost of an engagement. Ask both companies to calculate their fee on the same hypothetical recovery, showing which dollars form the fee base, who advances dispute expenses, and how refunds are treated.

Then cover unsuccessful, withdrawn, ineligible, and unpaid cases. Confirm contract length, termination notice, and responsibility for disputes still in progress. Do not assume one client’s agreement represents either company’s standard offer.

Bring the same scope, retained staff time, fee questions, and reporting needs to each proposal review. The blank partner planning worksheet provides fields for responsibilities, costs, and pilot measures.

How should you assess reviews and outcome claims?

Ask for references from practices with similar specialties, claim mixes, and billing arrangements. Record who supplied the reference and ask about the work the practice still handles, communication with its biller, and unresolved payment issues.

HaloMD’s homepage presents outcome headings including win rate, increase over initial QPA, and days in the IDR process. Review HaloMD’s published presentation. Before using any vendor’s figures to compare proposals, ask:

  • Which claims, services, dates, and payment-dispute routes are included?
  • What is the denominator, and how are ineligible, withdrawn, settled, or unresolved cases treated?
  • Does an amount describe an offer, a determination, or cash received, and are expenses deducted?
  • Which event starts and ends a stated timeline, and does it include payment collection?
  • Can the reported amounts be traced to claim-level records and matched receipts?

Use the answers to compare the same measures. A reference or reported outcome does not establish what another practice will recover.

HaloMD’s outcome headings checked . No outcome figures or customer reviews have been independently verified for this comparison.

Before you choose

Both companies describe specialist IDR support. Ask how each would work with your specialty, claim mix, and existing biller. The case walkthrough should leave you clear about who does the work and what your practice still needs to provide.

YOUR NEXT STEP

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to discuss?

Talk through your practice’s claims and the support you need.

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Content and sources reviewed .