CollectionPro Services LLC, a provider of accounts receivable recovery services specializing in out-of-network (OON) claims through Independent Dispute Resolution (IDR) arbitration, has announced a strategic partnership with a leading Revenue Cycle Management (RCM) company. Under this partnership, CollectionPro will serve 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 handle complex payer disputes and underpaid claims.
The healthcare reimbursement landscape has become increasingly complex due to heightened regulatory scrutiny and payer challenges. OON claims and NSA-IDR arbitration have emerged as highly specialized areas within revenue cycle operations, requiring a distinct set of legal, regulatory, and operational skills. Many full-service RCM companies excel in core billing, coding, and follow-up for in-network claims but lack the niche infrastructure needed to consistently succeed in the out-of-network domain. This partnership reflects a growing trend of RCM firms turning to specialized partners to manage OON and IDR workstreams.
"Out-of-network recovery and IDR arbitration are no longer extensions of routine A/R," said Maverick Johnson, spokesperson for CollectionPro. "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 strong legal acumen. The company has contested over 10,000 cases with a 92% success rate. It offers turnkey dispute management, from claim analysis and document collection to re-coding, re-filing, and pushing corrected claims through arbitration and post-award recovery. The low, contingency-based pricing of just 10% aligns fees strictly with recovered revenue, allowing RCM partners to offer IDR services to their provider clients without incurring fixed costs or assuming regulatory risk.
Since the implementation of the No Surprises Act in 2022, the volume of IDR cases has surged beyond initial federal projections. Providers and RCM companies face mounting backlogs, rising arbitration fees, and increasingly technical payer arguments related to Qualified Payment Amounts (QPA), coding, and medical necessity. This partnership enables RCM firms to protect client revenue, enhance their service portfolio, and stay compliant without diluting focus from core operations.
"RCM companies are realizing that OON and IDR are not just another workflow; they are a separate discipline," added Johnson. "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 the dedicated OON and IDR partner of choice for RCM organizations across the United States. By combining regulatory depth, arbitration expertise, and a performance-based, no-risk pricing model, CollectionPro is enabling RCM companies to turn one of the most challenging reimbursement problems in healthcare into a predictable, recoverable revenue stream.
