THE FIVE PILLAR MODEL
Procedural Precision
Offer Callibration Strategy
Offer Callibration Strategy
Win Before You Argue.
• Deadline governance
• Proper open negotiation initiation
• Plan-type classification (ERISA vs fully insured)
• Forum identification (federal vs state)
• Bundling eligibility validation
• Claim grouping discipline
"Most arbitration losses occur before evidence is even reviewed."
MedRev eliminates preventable procedural failure.
Offer Callibration Strategy
Offer Callibration Strategy
Offer Callibration Strategy
Because Baseball-Style Arbitration Is Binary.
The arbitrator must choose one offer — in full.
Too conservative → You lose to the anchor.
Too aggressive → You lose credibility.
MedRev applies:
• Probability-weighted modeling
• Differential benchmarking
• Jurisdiction-aware positioning
• Payer trend analysis
• CPT-level variance modeling
Offers are engineered — not guessed.
QPA Rebuttal Architecture
Offer Callibration Strategy
Statutory Factor Alignment
The Anchor Must Be Challenged.
The QPA is:
• Payer-calculated
• Often suppressed
• Methodologically opaque
• Psychologically influential
MedRev deploys:
• Geographic validation review
• Specialty classification analysis
• Market distortion framing
• Counter-anchoring strategy
• Negotiation history documentation
• Subspecialty credential diffe
The Anchor Must Be Challenged.
The QPA is:
• Payer-calculated
• Often suppressed
• Methodologically opaque
• Psychologically influential
MedRev deploys:
• Geographic validation review
• Specialty classification analysis
• Market distortion framing
• Counter-anchoring strategy
• Negotiation history documentation
• Subspecialty credential differentiation
We reduce QPA dominance and elevate statutory factors.
Statutory Factor Alignment
Evidence Hierarchy Presentation
Statutory Factor Alignment
Argue Inside the Law — Not Around It.
Arbitrators must weigh statutory factors.
We structure submissions directly around:
• Provider training & experience
• Patient acuity & complexity
• Market share imbalance
• Facility capabilities
• Teaching status
• Good-faith contracting efforts
Evidence is organized by statute — not narrative improvisation.
Evidence Hierarchy Presentation
Evidence Hierarchy Presentation
Evidence Hierarchy Presentation
Clarity Wins Arbitration.
Winning submissions include:
• Executive summary framing
• Structured legal alignment
• Indexed exhibits
• Financial logic articulation
• Clean documentation sequencing
Volume does not persuade.
Structure does.