CollectionPro Achieves 92% Success Rate in No Surprises Act Arbitrations for Healthcare Providers

CollectionPro, the nation's premier specialist in Independent Dispute Resolution and out-of-network collections, has expanded its high-performance recovery services as the No Surprises Act continues to challenge the financial stability of surgical, orthopedic, and interventional pain practices. The company offers a robust, zero-risk pathway that has become the best solution for many physicians and healthcare practices seeking to recover fair market value for specialized medical services. Since the implementation of the No Surprises Act, healthcare managers have faced a steep increase in administrative complexity, with routine billing departments often struggling with the technical nuances of the IDR process, leading to underpayments or missed filing deadlines.

Under the strategic leadership of David Nissanoff, a recognized expert in healthcare arbitration, CollectionPro has successfully handled over 10,000 cases, maintaining a 92% win rate that significantly exceeds industry averages. The firm achieves this through proprietary data and specialty-specific arguments that counter unfair payer benchmarks. David Nissanoff stated, "The No Surprises Act was intended to protect patients, but it should not be used by insurers to systematically underpay specialized providers. 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 hurdles for healthcare managers in the IDR process 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 by operating on 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 and turning a once-costly administrative burden into a predictable revenue stream.

In the 2026 regulatory landscape, success in the federal IDR portal demands precise documentation and a deep understanding of Qualified Payment Amounts. CollectionPro assists providers by identifying specific CPT codes and facility settings, primarily places of service 21, 22, 23, and 24, that qualify for maximum recovery. The company's approach includes a customized pricing strategy that moves beyond basic Medicare multiples to reflect true market rates, jurisdictional expertise navigating the complex intersection of federal NSA rules and state-specific surprise billing laws, and aggressive enforcement pursuing won awards through CMS reporting and legal follow-up when insurers fail to pay.

Through a secure, user-friendly portal, practices maintain complete transparency with Explanation of Benefits and patient details. Once out-of-network claims are submitted, the CollectionPro team manages the entire dispute lifecycle, including claim analysis scrubbing claims for IDR eligibility, managing the mandatory 30-day negotiation window with payers, selecting the optimal IDR entity and filing disputes, and providing real-time status updates through an integrated dashboard. Beyond time-sensitive IDR processes requiring action within 30 days of an EOB, CollectionPro also specializes in recovering highly aged receivables, often re-opening and re-filing out-of-network claims that are 12 to 36 months old, allowing practices to capture funds previously considered write-offs and significantly impacting year-end financial results.