Curated News
By: NewsRamp Editorial Staff
January 30, 2026
CollectionPro Partners with RCM Firm to Tackle Out-of-Network Claims & IDR Arbitration
TLDR
- CollectionPro's partnership gives RCM companies a competitive edge by outsourcing complex out-of-network claim recovery with a 92% success rate and contingency-based pricing.
- CollectionPro provides specialized expertise in No Surprises Act arbitration, handling claim analysis, documentation, and legal processes for out-of-network disputes through a structured partnership model.
- This partnership helps healthcare providers receive fair reimbursement for out-of-network services, reducing financial burdens and ensuring patients face fewer surprise medical bills.
- CollectionPro has contested 10,000 arbitration cases with a 92% success rate, turning complex healthcare billing disputes into recoverable revenue through specialized legal expertise.
Impact - Why it Matters
This news matters because it addresses a critical pain point in healthcare reimbursement that directly impacts providers, patients, and the financial stability of medical practices. The No Surprises Act, while protecting patients from unexpected medical bills, has created a complex arbitration landscape where out-of-network claims require specialized legal and regulatory expertise that most billing companies lack. Without effective management of these claims, healthcare providers face significant revenue leakage, potentially affecting their ability to maintain services, invest in equipment, or even stay in business. For patients, inefficient handling of these disputes can indirectly contribute to higher healthcare costs as providers seek to offset losses. This partnership model represents a practical solution that could improve the entire healthcare payment ecosystem by ensuring legitimate claims get paid appropriately, reducing administrative burdens on providers, and ultimately contributing to more predictable healthcare economics.
Summary
CollectionPro Services LLC, a specialized provider of accounts receivable recovery services, has announced a strategic partnership with a prominent Revenue Cycle Management (RCM) company to tackle the growing challenge of out-of-network (OON) claims and No Surprises Act (NSA)-mandated Independent Dispute Resolution (IDR) arbitration. This collaboration positions CollectionPro as the dedicated OON and NSA-IDR arm for the billing organization, leveraging its deep expertise in balance billing laws, federal arbitration processes, and contingency-based recovery models to resolve complex payer disputes and underpaid claims. The partnership addresses a critical gap in the healthcare revenue cycle, where many full-service RCM companies excel at in-network claims but lack the niche legal, regulatory, and operational infrastructure required for consistent success in the out-of-network domain.
Maverick Johnson, spokesperson for CollectionPro, emphasized that out-of-network recovery and IDR arbitration are no longer mere extensions of routine accounts receivable but legal-regulatory processes demanding mastery of NSA rules, Qualified Payment Amount (QPA) benchmarks, documentation standards, and arbitration strategy. CollectionPro's core differentiation lies in its singular focus on NSA-IDR and OON recovery, supported by resident experts with hands-on arbitration experience, a proven track record of 10,000 contested cases with a 92% success rate, and a turnkey dispute management approach covering claim analysis, scrubbing, documentation, re-coding, re-filing, and post-award recovery. The company's low, contingency-based pricing of just 10% aligns fees strictly with recovered revenue, allowing RCM partners to offer OON and IDR services to provider clients without incurring fixed costs, hiring legal specialists, or assuming regulatory risk.
Since the implementation of the No Surprises Act in 2022, the volume of IDR cases has surged far beyond initial federal projections, creating mounting backlogs, rising arbitration fees, and increasingly technical payer arguments tied to QPA, coding, and medical necessity. This partnership reflects a growing industry trend where RCM firms are turning to specialized partners like CollectionPro to manage OON and IDR workstreams that demand a different level of expertise. By combining regulatory depth, arbitration proficiency, and a performance-based, no-risk pricing model, CollectionPro is enabling RCM companies to transform one of healthcare's most challenging reimbursement problems into a predictable, recoverable revenue stream while protecting client revenue, enhancing service portfolios, and maintaining compliance without diluting focus from core operations.
Source Statement
This curated news summary relied on content disributed by 24-7 Press Release. Read the original source here, CollectionPro Partners with RCM Firm to Tackle Out-of-Network Claims & IDR Arbitration
