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 prominent Revenue Cycle Management (RCM) company. Under this agreement, CollectionPro will act 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 tactics. OON claims and NSA-IDR arbitration now represent one of the most specialized and high-risk areas in revenue cycle operations. Many full-service RCM companies excel in core billing, coding, and follow-up for in-network claims but lack the niche legal, regulatory, and operational infrastructure needed for consistent success in the out-of-network domain. This partnership reflects a growing industry trend where RCM firms turn to specialized partners to manage OON and IDR workstreams that require a different level of expertise.
“Out-of-network recovery and IDR arbitration are no longer extensions of routine A/R. They are legal-regulatory processes that require mastery of NSA rules, QPA benchmarks, documentation standards, and arbitration strategy,” said Maverick Johnson, spokesperson for CollectionPro. “Our role is to become the specialist engine behind RCM companies that want results without building this capability in-house.”
CollectionPro is rapidly emerging as a preferred partner for RCM companies seeking scalable solutions for OON claim recovery, NSA-mandated IDR arbitration, and complex payer disputes across high-value specialties. The company’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. With 10,000 cases contested to date and a 92% success rate, CollectionPro offers turnkey dispute management from claim analysis and document collection to re-coding, re-filing, arbitration, and post-award recovery. Its low, contingency-based pricing of just 10% aligns fees strictly with recovered revenue, allowing RCM partners to offer OON and IDR services without incurring fixed costs or hiring legal specialists.
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 tied to Qualified Payment Amounts (QPA), coding, and medical necessity. For many RCM firms, the choice is clear: invest heavily in building an in-house NSA-IDR practice or partner with a specialist that already operates at scale. “RCM companies are realizing that OON and IDR are not just another workflow; they are a separate discipline,” Johnson added. “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.
