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 leading Revenue Cycle Management (RCM) company to manage its growing volume of OON claims. Under the partnership, CollectionPro will serve 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.
The healthcare reimbursement landscape has become increasingly complex, with heightened regulatory scrutiny and payer challenges. OON claims and NSA-IDR arbitration have emerged as highly specialized areas requiring legal, regulatory, and operational infrastructure that many full-service RCM companies lack. This partnership reflects a growing trend of RCM firms turning to specialized partners to manage these workstreams.
"Out-of-network recovery and IDR arbitration are no longer extensions of routine A/R," said Maverick Johnson, spokesperson for CollectionPro. "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 firms 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, a 92% success rate on 10,000 cases contested, and turnkey dispute management—from claim analysis to post-award recovery. Its contingency-based pricing of just 10% aligns fees strictly with recovered revenue, allowing RCM partners to offer OON and IDR services without fixed costs or regulatory risk.
Since the No Surprises Act took effect in 2022, the volume of IDR cases has surged beyond initial 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 either to invest heavily in building an in-house NSA-IDR practice or partner with a specialist that 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 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.
