CollectionPro, a provider specializing in out-of-network billing and collection services, announced it has surpassed 1,000 Independent Dispute Resolution (IDR) case filings under the No Surprises Act. The milestone underscores the growing complexity of out-of-network reimbursement and the increasing reliance on specialized partners to navigate the post-arbitration payment landscape.
Since the No Surprises Act took effect, providers have faced a significantly altered reimbursement environment. Beyond submitting claims, practices must now manage payer negotiations, prepare arbitration submissions, meet federal filing deadlines, and often pursue payment even after an arbitration decision. For many healthcare organizations, these responsibilities require expertise that extends well beyond traditional medical billing.
CollectionPro has built its business exclusively around out-of-network reimbursement, offering services such as payer negotiations, appeals management, IDR support, post-award collections, and resolution of old aging accounts receivable. By managing the entire process, the company reduces administrative burdens on internal teams while helping providers pursue appropriate reimbursement.
“Our clients come to us because they don’t want to build an internal team to handle a process that has become increasingly specialized,” said David Nissanoff, spokesperson for CollectionPro. “Managing IDR cases isn’t just about filing paperwork. It requires understanding payer strategies, documentation requirements, federal timelines, and how each case should be presented. That’s where our experience makes a difference.”
The company credits its growth to a dedicated in-house IDR team that manages cases from initial review through arbitration and recovery. Operating on a contingency-based model, CollectionPro charges no arbitration or administrative fees up front; fees are only collected when reimbursement is successfully recovered. Since entering the space, the company reports a 92% recovery success rate, working with orthopedic practices, plastic surgery groups, breast reconstruction specialists, ambulatory surgery centers, trauma providers, anesthesiology groups, and other organizations where out-of-network claims represent a meaningful portion of revenue.
According to Nissanoff, many providers are rethinking their approach to out-of-network reimbursement. “Three years ago, many practices tried to manage these cases internally because the volume was manageable; today, regulations are more complex, documentation expectations have increased, and arbitration has become a specialized function,” he said. “Providers are increasingly looking for partners who deal with these cases every day.”
Industry observers expect demand for out-of-network reimbursement expertise to continue growing as the IDR process evolves and payer scrutiny increases. CollectionPro believes this trend will encourage healthcare organizations to seek dedicated partners rather than relying solely on traditional medical billing resources. Surpassing 1,000 IDR case filings marks an important milestone, but the company says its primary focus remains helping providers recover revenue that might otherwise be delayed, underpaid, or left uncollected.
