CollectionPro Launches Free OON Claims Evaluation Service

CollectionPro, a national provider specializing in out-of-network claims recovery and Independent Dispute Resolution arbitration support, has launched a groundbreaking Free Evaluation service to help healthcare providers navigate the complex landscape of OON claims recovery. This innovative offering comes at a critical time as providers struggle with the implications of the No Surprises Act, which took effect in 2022 and fundamentally altered out-of-network reimbursement workflows by prohibiting balance billing and shifting greater financial responsibility to payers. The evaluation provides a comprehensive, no-cost review that helps providers identify which claims may be eligible for recovery through federal and state arbitration processes, addressing a significant pain point for medical practices facing increased underpayments and complex administrative requirements.

The Free Evaluation service specifically assesses four key areas: claims potentially eligible for IDR under the No Surprises Act, claims that may qualify for arbitration under applicable state balance-billing laws, claims still within required filing and appeal windows, and claims that may be reopened, corrected or re-submitted for reconsideration. According to Maverick Johnson, CollectionPro's spokesperson, "Many providers simply don't pursue arbitration because they aren't certain about which claims qualify. The Free Evaluation removes that uncertainty and helps providers identify whether a legitimate recovery pathway exists." The company brings substantial expertise to this initiative, having supported more than 10,000 IDR filings under the No Surprises Act with an impressive 92% success rate across multiple medical specialties including emergency medicine, anesthesiology, radiology, and air ambulance services.

What makes CollectionPro's approach particularly compelling is their comprehensive review of aging OON claims, including those up to three years old, to check eligibility for reappeal and fresh arbitration. The company's business model eliminates financial risk for providers by advancing the entire administration fee of $115 and arbitration fees up to $1200, with providers paying only a success-based fee as low as 10% after reimbursement recovery. This limited-time Free Evaluation opportunity is available to all specialties burdened with out-of-network claims, including neurosurgery, orthopedics, cardiology, and many others dealing with Medicare, Medicaid, or commercial payers, making it an essential tool for healthcare providers seeking to maximize their revenue recovery in today's challenging reimbursement environment.