CollectionPro, a provider of out-of-network billing and collection services, announced it has surpassed 1,000 Independent Dispute Resolution (IDR) case filings under the No Surprises Act. The milestone reflects increasing demand for dedicated out-of-network reimbursement support as providers navigate a more complex payment environment.
When the No Surprises Act took effect, the way providers pursued reimbursement for out-of-network services changed significantly. Beyond submitting a claim, practices now have to manage payer negotiations, prepare arbitration submissions, meet federal filing deadlines, and often pursue payment even after an arbitration decision. For many healthcare organizations, these responsibilities require expertise beyond traditional medical billing.
CollectionPro has built its business exclusively around out-of-network reimbursement. Its services include payer negotiations, appeals management, IDR support, post-award collections, and resolving aging accounts receivable. By managing the entire reimbursement process, the company enables providers to reduce administrative workload while pursuing appropriate payment.
"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."
The company attributes its growth to a dedicated in-house IDR team that manages cases from initial review through arbitration and recovery. CollectionPro operates on a contingency-based model: providers pay no arbitration or administrative fees, and fees are only charged when reimbursement is successfully recovered. Since entering the space, the company 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 meaningful portion of revenue.
According to Nissanoff, many providers are rethinking how they approach 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. CollectionPro believes this trend will encourage healthcare organizations to seek partners with dedicated experience rather than relying solely on traditional medical billing resources. Surpassing 1,000 IDR case filings represents an important milestone, but the company says its primary focus remains helping providers recover revenue that might otherwise be delayed, underpaid, or left uncollected.
