case study
Trexin IDR SaaS Platform for No Surprises Act Compliance
Trexin's own SaaS platform manages the federal IDR process under the No Surprises Act end to end, built on a solution already proven in production at a healthcare payer.
What we built
Trexin offers a SaaS platform that manages the federal Independent Dispute Resolution (IDR) process for healthcare payers under the No Surprises Act end to end: eligibility, deadlines, offer preparation, and documentation. It pairs a deterministic engine that governs deadlines and state with an optional, secure offline AI intake module that accelerates case creation while keeping sensitive data controlled. The platform is built directly on a solution we designed and built for a payer that runs it in production today.
Why it matters
This is owned software, not slideware: proof that Trexin builds, not just advises, and the production-grade foundation behind our IDR solution.
It’s grounded in real results. The design behind the platform runs in production at a healthcare payer processing disputes at volume, where the payer’s win rate climbed from 2% to 34% over roughly two years, well above payer industry averages. (See our analysis of payer win rates against the Qualifying Payment Amount in Winning the IDR Battle.) The same engagement avoided roughly $1.0M in cost over a single six-month period by catching IDR-ineligible disputes early, removed about 15% of cases before arbitration on eligibility criteria, and kept submissions on time across every stage at a 99.75% rate.
Every payer starts from a different place, so the lift varies with starting win rate, case mix, and dispute volume. These are representative results from a live, high-volume engagement, shown because the same software and methodology are the foundation of what we bring to other payers.
See Trexin AI Studio for the rest of what we build.
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