CollectionPro, a provider of out-of-network billing and collection services, announced that 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 need for specialized expertise as providers navigate a more challenging payment environment.
When the No Surprises Act took effect, the process for pursuing reimbursement for out-of-network services changed dramatically. Providers now face payer negotiations, arbitration submissions, federal filing deadlines, and post-award collections—tasks that extend beyond traditional billing. For many healthcare organizations, these responsibilities require dedicated knowledge and resources.
CollectionPro has focused exclusively on out-of-network reimbursement, offering services such as payer negotiations, appeals management, IDR support, post-award collections, and resolution of aging accounts receivable. By managing the entire process, the company helps providers reduce administrative burdens on internal teams while pursuing 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's growth is driven by its dedicated in-house IDR team, which handles cases from initial review through arbitration and recovery. CollectionPro operates on a contingency-based model, charging no arbitration or administrative fees upfront and only collecting fees when reimbursement is successfully recovered.
Since entering the out-of-network reimbursement space, CollectionPro has reported 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 significant 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. Surpassing 1,000 IDR case filings represents an important milestone for CollectionPro, but the company says its primary focus remains helping providers recover revenue that might otherwise be delayed, underpaid, or left uncollected.
For more information, visit CollectionPro.
