The highest dollars per dispute. The least room for a missed deadline.
Air ambulance claims are among the largest in the federal process, and almost all go federal. The statute gives air transport its own factors, from aircraft type to pick-up population density. Your brief should use every one.
Built for air ambulanceBriefs built on the air-ambulance factors
The codes the engine reads first.
Base and mileage lines from one transport can be disputed together as items for one patient on the same claim form.
- A0431Rotary wing transport, base rate
- A0436Rotary wing, per statute mile
- A0430Fixed wing transport, base rate
- A0435Fixed wing, per statute mile
What the data says
- Air ambulance disputes run through the federal process. Federal aviation law limits what states can regulate about air carrier rates.
- Provider win rates ranged from 19% to 99% depending on the IDR entity.7
How your claims reach a decision.
Step 1: Nonparticipating transports
When a plan covers air ambulance services, transports by a nonparticipating provider fall under the No Surprises Act.
Step 2: The air-transport factors
The IDRE must weigh vehicle type and clinical capability, patient acuity, crew training, the population density of the pick-up location and good-faith efforts to contract.
Step 3: The 30-day payment clock
Large awards make the 30-day payment clock the part that matters most.
One claim, priced both ways.
Paid in full, the two fees are close. If the payer never pays, Revise costs you nothing.
Our fee if the payer never pays this award. An award-based fee of $2,280 stays due either way.
| Line | Amount |
|---|---|
| Billed charge | $48,000 |
| Initial payment (taken as the QPA) | $9,500 |
| Award at 2.2x the QPA | $20,900 |
| Added cash, if the payer pays in full | $11,400 |
| Award-based vendor, 20% of the uplift, due paid or not | $2,280 |
| Revise, 19% of cash collected | $2,166 |
| You keep with Revise, on this one claim | +$114 |
Illustrative. Assumes the award is paid in full. Fronted admin and IDRE fees not shown.
What breaks today. What changes with Revise.
Today
- A single missed window can cost more than a year of fees.
- Payers that pay late or partially on large awards.
- Vendors that charge on the award before the money moves.
With Revise
- A deadline radar with alerts at T-5, T-2 and T-1 on every clock.
- Briefs built on the air-ambulance factors, with flight and crew evidence attached.
- Our fee is 19% of what you actually collect. Nothing on unpaid awards.
One fee. Only on cash collected.
Our fee: 19% of cash collected. Nothing if we collect nothing.
Free claims audit to start- 01
We front every fee
CMS and IDRE fees are paid by Revise and recouped from the award. You fund no operating account.
- 02
Paid when you’re paid
Billed monthly on reconciled remits. If the payer doesn’t pay, neither do you.
- 03
No lock-in
90 days, then month-to-month with 30 days’ notice. No exclusivity.
Do state surprise billing laws apply to our transports?
Rarely. Federal aviation law limits state regulation of air carrier rates, so most air ambulance disputes go to the federal process. The engine still checks each plan.
Can you include ground transport legs?
Ground ambulance is outside the No Surprises Act federal process today. Some states have their own ground ambulance laws, and we will tell you where they apply.
How do you handle partial payments on an award?
The collections engine matches every remit to the award, flags the shortfall on day 31 and starts the escalation ladder for the balance.
Send us one month of remits.
We’ll show you what you left on the table.
Seven business days. No cost. A line-by-line report of eligible claims you didn’t file, QPAs that don’t add up, and awards you were never paid.
Sources
- 7Watts and Hoadley, "No Surprises Act arbitrators vary significantly in their decision making patterns," Georgetown CHIR, July 10, 2025: provider win rates ranged from 19% to 99% across IDR entities and years (2022 to mid-2024). Source