Lead matters involving contract breaches, payment disputes, underpayment or overpayment claims, reimbursement methodology, fee schedules, DRG/APC/APG or other payment logic, risk corridors, value-based payment, capitation, shared savings, risk adjustment, denials, recoupments, and claims adjudication issues. Dispute focus : Deep experience in payer/provider commercial disputes, including underpayment, overpayment, contract interpretation, rate methodology, coding, claim adjudication, stop-loss, risk adjustment, value-based care, network adequacy, medical necessity, utilization, denial, recoupment, and reimbursement disputes.