CollectionPro Reshapes Out-of-Network Revenue Recovery for Healthcare Providers with 92% Success Rate in No Surprises Act Arbitrations
This revenue resurrection service allows practices to capture funds that were previously considered write-offs, significantly impacting the year-end bottom line.
NEW YORK, NY, February 04, 2026 -- CollectionPro, the nation's premier specialist in Independent Dispute Resolution (IDR) and out-of-network (OON) collections, announced another expansion of its high performance recovery services. Tailored for complex medical specialties as the No Surprises Act (NSA) continues to challenge the financial stability of surgical, orthopedic and interventional pain practices, CollectionPro is known for its robust and zero risk pathway. Today it is the best solution to recover fair market value for specialized medical services for many physicians and healthcare practices.
A Dedicated Engine for Out-of-Network Revenue
Since the implementation of the No Surprises Act, healthcare managers have faced a steep increase in administrative complexity. Routine billing departments often struggle with the technical nuances of the IDR process, leading to underpayments or missed filing deadlines. CollectionPro was established to solve this specific pain point. Unlike general billing companies, CollectionPro is the one stop destination for all IDR cases. The firm here not only focuses exclusively on the recovery of out-of-network claims but further work on ensuring that every case receives the legal and analytical scrutiny required to win.
Under the strategic leadership of David Nissanoff, a recognized expert in healthcare arbitration, CollectionPro has successfully handled over 10,000 cases. The firm maintains a 92 % win rate significantly higher than the industry average by utilizing proprietary data and specialty-specific arguments that counter unfair payer benchmarks. In fact, after partnering with CollectionPro, physicians can relax as far as out-of-network billing is concerned.
"The No Surprises Act was intended to protect patients, but it should not be used by insurers to systematically underpay specialized providers," said David Nissanoff. "At CollectionPro, we act as the legal and operational backbone for practices. We ensure that if you are out-of-network, you are still compensated for the true value of your expertise."
Removing Financial Barriers to Arbitration
One of the primary hurdles for healthcare managers in the IDR process is the high cost of entry. Traditional vendors often require providers to pay upfront arbitration and administrative fees. These costs can exceed $1,200 per dispute, creating a financial barrier that prevents many practices from pursuing legitimate claims. With CollectionPro you don't have to worry anymore as these kind of fee are eliminated; reducing the risk. The firm operates on a pure contingency based model where the firm fronts all administrative fees and arbitration costs. Furthermore, physicians need to pay only if they win that too a 10 % success fee based on the gross award. This performance only structure aligns CollectionPro's goals directly with those of the healthcare provider, turning a once-costly administrative burden into a predictable revenue stream.
Advanced Strategies for Specialized Care
While the 2026 regulatory landscape requires more than just submitting claims and the success in the federal IDR portal demands precise documentation and a deep understanding of Qualified Payment Amounts (QPA); Collectionpro is here to take care of it all. CollectionPro assists providers by identifying the specific CPT codes and facility settings primarily places of service 21, 22, 23, and 24 that qualify for maximum recovery. In fact, below are the key differentiators of the CollectionPro approach:
Customized Pricing Strategy: CollectionPro advises providers on appropriate fee settings. They move beyond basic Medicare multiples to reflect true market rates.
Jurisdictional Expertise: The team navigates the complex intersection of federal NSA rules and state-specific surprise billing laws, such as those in New Jersey and California with expert in-house state licensed lawyer.
Aggressive Enforcement: If an insurer fails to pay a won award, CollectionPro pursues enforcement via CMS reporting and legal follow-up.
Streamlined, Human-Centric Operations
CollectionPro understands that healthcare managers are busy and so through a secure, user-friendly portal, practices have a complete transparency when it comes to Explanation of Benefits (EOB) and patient details. In fact, once OON claims are submitted, the CollectionPro team takes over the entire lifecycle of the dispute, starting from:
Claim Analysis: Scrubbing claims for IDR eligibility and batching potential.
Open Negotiation: Managing the mandatory 30-day negotiation window with payers.
Arbitration Management: Selecting the optimal IDR entity and filing the dispute.
Live Tracking: Providing real-time status updates through an integrated dashboard.
Recovering Aged Receivables
While the IDR process is time-sensitive requiring action within 30 days of an EOB CollectionPro also specializes in recovering highly aged receivables. The firm can often re-open and re-file out-of-network claims that are 12 to 36 months old. This revenue resurrection service allows practices to capture funds that were previously considered write-offs, significantly impacting the year-end bottom line.
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Contact Information
Maverick JohnsonCollectionPro Services LLC
New York, NY
United States
Voice: (212) 243-3516
Website: Visit Our Website
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