How Resolve works
Four steps from case submission to payment. We handle everything in between while you focus on patient care.
CareVanta Resolve is a full-service IDR solution. We take your out-of-network dispute cases and manage the entire lifecycle — from initial filing through final payment. No contracts, no upfront cost. You only pay when we recover money for you.
Intake
Submit your out-of-network dispute cases.
- Upload case data via secure portal or bulk import
- We validate claims and identify eligible disputes
- Federal vs. state jurisdiction routing handled automatically
- You get a confirmation and case ID within 24 hours
File & manage
We handle all filings, documentation, and deadlines.
- Our team prepares all required supporting documentation
- Filings are submitted within regulatory windows
- We manage open negotiation periods and escalations
- Expert review applied where it maximizes recovery
Track
Monitor everything from your real-time dashboard.
- See case status, deadlines, and outcomes in one place
- Filter by payer, jurisdiction, date, or status
- Automated alerts for important milestones
- Export reports for internal stakeholders anytime
Get paid
When we win, you get paid. Simple as that.
- Payment is processed directly to your organization
- Our fee is deducted from recovered funds only
- Detailed recovery reports for your records
- No win = no fee. Zero risk to you.
What we need from you
Claim data
Basic claim information for the disputed services — payer, amounts, dates of service.
Supporting docs
EOBs, remittance advice, and any prior payer correspondence related to the dispute.
Authorization
A signed letter of representation so we can file on your behalf. We provide the template.
Typical timeline
Day 1
Claims submitted and validated
Day 2–3
Documentation prepared and filed
Day 4–60
Open Negotiation and IDR process
Day 60+
Decision and payment recovery
Ready to get started?
Submit your first case and see Resolve in action. Zero risk, zero commitment.
IDR filing windows don't wait. Neither should you.