CollectionPro Achieves 92% Success Rate in No Surprises Act Arbitrations, Transforming Out-of-Network Revenue Recovery

CollectionPro, a specialist in Independent Dispute Resolution and out-of-network collections, has expanded its recovery services as the No Surprises Act continues to challenge the financial stability of surgical, orthopedic, and interventional pain practices. The firm maintains a 92% win rate in IDR arbitrations, significantly higher than industry averages, by utilizing proprietary data and specialty-specific arguments that counter unfair payer benchmarks.

Since the implementation of the No Surprises Act, healthcare managers have faced increased administrative complexity, with routine billing departments often struggling with the technical nuances of the IDR process. CollectionPro was established specifically to address this challenge, serving as a dedicated resource for all IDR cases rather than functioning as a general billing company. Under the leadership of David Nissanoff, a recognized expert in healthcare arbitration, the firm has successfully handled over 10,000 cases.

‘The No Surprises Act was intended to protect patients, but it should not be used by insurers to systematically underpay specialized providers,’ said Nissanoff. ‘At CollectionPro, we act as the legal and operational backbone for practices, ensuring that if you are out-of-network, you are still compensated for the true value of your expertise.’

One of the primary barriers to IDR participation has been the high cost of entry, with traditional vendors often requiring providers to pay upfront arbitration and administrative fees exceeding $1,200 per dispute. CollectionPro eliminates this financial barrier through a pure contingency-based model where the firm fronts all administrative fees and arbitration costs. Physicians only pay a 10% success fee based on the gross award if they win, aligning CollectionPro’s goals directly with those of healthcare providers.

The 2026 regulatory landscape requires more than just claim submission, with success in the federal IDR portal demanding precise documentation and deep understanding of Qualified Payment Amounts. CollectionPro assists providers by identifying specific CPT codes and facility settings, particularly places of service 21, 22, 23, and 24, that qualify for maximum recovery. The firm’s approach includes customized pricing strategies that move beyond basic Medicare multiples to reflect true market rates.

CollectionPro’s 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 lawyers. If an insurer fails to pay a won award, the firm pursues enforcement via CMS reporting and legal follow-up.

Through a secure, user-friendly portal, practices maintain complete transparency regarding Explanation of Benefits and patient details. Once out-of-network claims are submitted, CollectionPro manages the entire dispute lifecycle, including claim analysis for IDR eligibility, managing the mandatory 30-day negotiation window with payers, selecting optimal IDR entities, and providing real-time status updates through an integrated dashboard.

While the IDR process requires action within 30 days of an EOB, CollectionPro also specializes in recovering aged receivables, often re-opening and re-filing out-of-network claims that are 12 to 36 months old. This revenue resurrection service allows practices to capture funds previously considered write-offs, significantly impacting year-end financial performance for healthcare providers struggling with the complexities of the No Surprises Act implementation.

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