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 partnership, CollectionPro will manage and resolve the RCM company's growing volume of out-of-network claims, acting as its dedicated OON and No Surprises Act (NSA)-IDR arm.
The collaboration brings CollectionPro's expertise in balance billing laws, federal arbitration processes, and contingency-based recovery to support complex payer disputes and underpaid claims. Healthcare reimbursement has grown increasingly complex due to regulatory changes and heightened payer scrutiny, making OON claims and NSA-IDR arbitration specialized and high-risk areas. Many full-service RCM companies lack the niche legal, regulatory, and operational infrastructure needed to succeed in the out-of-network domain.
This partnership reflects an industry trend of RCM firms turning to specialized partners for OON and IDR workstreams. Maverick Johnson, spokesperson for CollectionPro, stated: "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. Our role is to become the specialist engine behind RCM companies that want results without building this capability in-house."
CollectionPro is 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 differentiation lies in its singular focus on NSA-IDR and OON recovery, supported by resident experts with hands-on arbitration experience, a 92% success rate on 10,000 contested cases, turnkey dispute management, and contingency-based pricing at 10% of recovered revenue. This model allows RCM partners to offer IDR services to provider clients without incurring fixed costs or regulatory risk.
Since the No Surprises Act took effect in 2022, IDR case volumes have surged beyond federal projections. Providers and RCM companies face backlogs, rising arbitration fees, and technical payer arguments related to Qualified Payment Amounts (QPA), coding, and medical necessity. Johnson added: "RCM companies are realizing that OON and IDR are not just another workflow; they are a separate discipline. 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 for RCM organizations across the United States, enabling them to turn challenging reimbursement problems into predictable revenue streams.
