CollectionPro, a specialist in Independent Dispute Resolution and out-of-network collections, has expanded its recovery services for healthcare providers facing financial challenges under the No Surprises Act. The company reports a 92% success rate in IDR arbitrations, significantly higher than industry averages, providing a critical solution for surgical, orthopedic, and interventional pain practices struggling with the administrative complexity of the federal legislation.
Since the implementation of the No Surprises Act, healthcare managers have encountered increased administrative burdens that routine billing departments often cannot handle. CollectionPro addresses this specific pain point by serving as a dedicated destination for all IDR cases, focusing exclusively on out-of-network claim recovery with legal and analytical scrutiny. Under the leadership of David Nissanoff, a recognized expert in healthcare arbitration, the firm has successfully handled over 10,000 cases using 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. We ensure that if you are out-of-network, you are still compensated for the true value of your expertise."
One of the most significant barriers to IDR participation has been the high cost of arbitration, with traditional vendors requiring upfront fees exceeding $1,200 per dispute. CollectionPro eliminates this financial barrier through a pure contingency model where the firm fronts all administrative and arbitration costs. Providers only pay a 10% success fee based on the gross award when they win, aligning the company's goals directly with healthcare providers and transforming a costly administrative burden into a predictable revenue stream.
The 2026 regulatory landscape requires more than basic claim submission, demanding precise documentation and deep understanding of Qualified Payment Amounts. CollectionPro assists providers by identifying specific CPT codes and facility settings that qualify for maximum recovery, particularly places of service 21, 22, 23, and 24. The company's approach includes customized pricing strategies that move beyond basic Medicare multiples to reflect true market rates, jurisdictional expertise navigating both federal NSA rules and state-specific surprise billing laws, and aggressive enforcement through 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 with access to Explanation of Benefits and patient details. Once out-of-network claims are submitted, CollectionPro manages the entire dispute lifecycle from claim analysis and scrubbing for IDR eligibility to 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 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 performance for healthcare organizations navigating the complex post-No Surprises Act environment.
