CollectionPro Services LLC, a provider of accounts receivable recovery services specializing in out-of-network (OON) claims through Independent Dispute Resolution (IDR) arbitration, announced a strategic partnership with a prominent Revenue Cycle Management (RCM) company. Under the agreement, CollectionPro will act as the dedicated OON and No Surprises Act (NSA)-IDR arm for the billing organization, leveraging its expertise in balance billing laws, federal arbitration processes, and a contingency-based recovery model to manage complex payer disputes and underpaid claims.
Healthcare reimbursement has become increasingly complex, with heightened regulatory scrutiny and payer challenges. OON claims and NSA-IDR arbitration are now among the most specialized and high-risk areas in revenue cycle operations. Many RCM companies, while strong in core billing and coding for in-network claims, lack the niche legal, regulatory, and operational infrastructure needed for consistent success in the out-of-network domain. This partnership reflects a growing industry trend of RCM firms turning to specialized partners to handle OON and IDR workstreams.
Maverick Johnson, spokesperson for CollectionPro, stated: Out-of-network recovery and IDR arbitration are no longer extensions of routine A/R. They are legal-regulatory processes that require mastery of NSA rules, QPA benchmarks, documentation standards, and arbitration strategy. Our role is to become the specialist engine behind RCM companies that want results without building this capability in-house.
CollectionPro’s core differentiation lies in its singular focus on NSA-IDR and OON recovery, supported by resident experts with hands-on arbitration experience and legal acumen. The company reports top-notch performance metrics, with over 10,000 cases contested and a 92% success rate. Its turnkey dispute management covers claim analysis, document collection, re-coding, re-filing, and post-award recovery. Additionally, its contingency-based pricing of just 10% aligns fees strictly with recovered revenue, allowing RCM partners to offer OON and IDR services without fixed costs or regulatory risk.
Since the No Surprises Act took effect in 2022, the volume of IDR cases has surged beyond federal projections. Providers and RCM companies face backlogs, rising arbitration fees, and technical payer arguments related to Qualified Payment Amounts (QPA), coding, and medical necessity. For many RCM firms, the choice is to invest heavily in building an in-house NSA-IDR practice or partner with a specialist operating at scale. Johnson added: RCM companies are realizing that OON and IDR are not just another workflow; they are a separate discipline. Our partnerships allow them to protect client revenue, enhance their service portfolio, and stay compliant, without diluting focus from their core operations.
This latest partnership marks another milestone in CollectionPro’s expansion as a dedicated OON and IDR partner for RCM organizations across the United States. By combining regulatory depth, arbitration expertise, and a performance-based pricing model, CollectionPro enables RCM companies to turn challenging reimbursement problems into predictable, recoverable revenue streams.
