The same cases,
out-of-network.
Move the numbers to match the practice. See what the surgical book could collect once the eligible cases go out-of-network and through federal IDR — and what stays in-house.
Added net revenue / year
$0
vs. current in-network billing — $0/mo more, same case volume
Net · OON
$0
Net · today
$0
Auctus fee · OON
$0
Practice inputs
$
7/10
eligible cases ÷ total cases / mo
Eligible
7
Total cases
10
Assumptions & rates⌄
%
%
%
%
×
%
×
$
mo
mo
Monthly comparison
Today
Current biller
In-network · as-is
Net / mo
$18,700
$224,400 / yr
Collections $20,000
Billing fee $1,300
Phase 1
Auctus — in-network
Like-for-like switch
Net / mo
$18,100
$217,200 / yr
Collections $20,000
Billing fee $1,400
Auths $500
Auctus fee $1,900
Phase 3
Auctus — OON + IDR
Eligible cases arbitrated
Net / mo
$0
$0 / yr
Total collections $0
IDR recovery $0
In-network rest $0
Auths $500
Auctus fee $0
Moving the eligible cases out-of-network adds +$0/mo to net, on the same surgical volume.
Cashflow & timing — the transition curve
In-network claims pay in ~30 days. IDR settles later — 30% clean by month 3, the rest chased free by Auctus through months 4–11. Below is cumulative net cash: staying in-network vs. switching. The prior biller finishing its claims cushions the early dip.
Stay in-network
Switch to OON
First IDR dollars land
Mo 3
30% clean, no complaint
Ahead of staying in-network
Mo 3
cumulative crossover
Cash to bridge the switch
$0
deepest gap vs. status quo
Full monthly run-rate
$0
by ~mo 13
How the IDR line is built
Each eligible case is valued at its QPA (the in-network benchmark), then carried through federal No Surprises Act arbitration. Surgery's median award has climbed to roughly 13× QPA (CMS Federal IDR data, 2024), and providers prevail on the large majority of eligible disputes.
Win 85% → 13× QPA
Loss 15% → pays 1× QPA (≈ Medicare, never zero)
Effective 11.20× QPA / eligible case
Auctus 20% of the whole recovery
The 13× multiple applies only to genuinely IDR-eligible cases — out-of-network care delivered at an in-network facility. The eligible / total shifter is the honest dial: set it to the cases that actually qualify, and the remainder of the book stays in-network at the standard rate.