CollectionPro, the nation's premier specialist in Independent Dispute Resolution and out-of-network collections, has expanded its high-performance recovery services tailored for complex medical specialties affected by the No Surprises Act. The firm maintains a 92% success rate in arbitrations, significantly higher than industry averages, providing a robust solution for surgical, orthopedic, and interventional pain practices facing financial challenges under current regulations.
Since the implementation of the No Surprises Act, healthcare managers have encountered increased administrative complexity, with routine billing departments often struggling with the technical nuances of the IDR process. CollectionPro was established specifically to address this pain point, serving as a dedicated destination for all IDR cases rather than functioning as a general billing company. The firm focuses exclusively on recovering out-of-network claims while ensuring each case receives the legal and analytical scrutiny required for success.
Under the strategic leadership of recognized healthcare arbitration expert David Nissanoff, CollectionPro has successfully handled over 10,000 cases. The firm achieves its high win rate by utilizing proprietary data and specialty-specific arguments that counter unfair payer benchmarks. "The No Surprises Act was intended to protect patients, but it should not be used by insurers to systematically underpay specialized providers," said Nissanoff. "At CollectionPro, we act as the legal and operational backbone for practices, ensuring that if you are out-of-network, you are still compensated for the true value of your expertise."
One significant barrier for healthcare managers in the IDR process has been the high cost of entry, with traditional vendors often requiring upfront arbitration and administrative fees exceeding $1,200 per dispute. CollectionPro eliminates this financial barrier through a pure contingency-based model where the firm fronts all administrative fees and arbitration costs. Providers pay only a 10% success fee based on the gross award when they win, aligning CollectionPro's goals directly with those of healthcare providers and transforming a costly administrative burden into a predictable revenue stream.
CollectionPro's advanced strategies address the 2026 regulatory landscape, which demands more than simple claim submission. Success in the federal IDR portal requires precise documentation and deep understanding of Qualified Payment Amounts. The firm assists providers by identifying specific CPT codes and facility settings, particularly places of service 21, 22, 23, and 24, that qualify for maximum recovery. Their approach includes customized pricing strategies that move beyond basic Medicare multiples to reflect true market rates, jurisdictional expertise navigating the complex intersection of federal NSA rules and state-specific surprise billing laws, and aggressive enforcement pursuing CMS reporting and legal follow-up when insurers fail to pay won awards.
Through a secure, user-friendly portal at https://www.collectionpro.com, practices maintain complete transparency regarding Explanation of Benefits and patient details. Once out-of-network claims are submitted, the CollectionPro team manages the entire dispute lifecycle, including claim analysis for IDR eligibility, managing the mandatory 30-day negotiation window with payers, selecting optimal IDR entities, filing disputes, and providing real-time status updates through an integrated dashboard.
Beyond time-sensitive IDR processes requiring action within 30 days of an EOB, CollectionPro specializes in recovering highly aged receivables, often re-opening and re-filing out-of-network claims that are 12 to 36 months old. This revenue resurrection service allows practices to capture funds previously considered write-offs, significantly impacting year-end financial results for healthcare providers navigating the challenging landscape created by the No Surprises Act.
