CollectionPro Offers Free Evaluation to Help Healthcare Providers Identify Recoverable Out-of-Network Claims Under No Surprises Act

CollectionPro, a national provider of out-of-network claims recovery and Independent Dispute Resolution arbitration support, has launched a Free Evaluation service to help healthcare providers determine which out-of-network claims may be eligible for recovery through federal and state arbitration processes. The No Surprises Act, which took effect in 2022, significantly changed out-of-network reimbursement workflows by prohibiting balance billing and shifting greater financial responsibility to payers.

As providers face increased underpayments and complex administrative requirements, many struggle to determine which claims qualify for IDR escalation. CollectionPro's new evaluation service offers a no-cost review of out-of-network claims to help providers identify claims potentially eligible for IDR under the No Surprises Act, claims that may qualify for arbitration under applicable state balance-billing laws, claims still within required filing and appeal windows, and claims that may be reopened, corrected or re-submitted for reconsideration.

The evaluation provides a clear assessment of eligible out-of-network claims, giving providers a starting point for pursuing appropriate recovery. Many providers simply don't pursue arbitration because they aren't certain about which claims qualify, according to Maverick Johnson, spokesperson for CollectionPro. The Free Evaluation removes that uncertainty and helps providers identify whether a legitimate recovery pathway exists.

CollectionPro has supported more than 10,000 IDR filings under the No Surprises Act and reports a 92% success rate across multiple specialties, including emergency medicine, anesthesiology, radiology, pathology, dialysis, surgical subspecialties and air ambulance services. The company's team also reviews aging out-of-network claims, including those up to 3 years old, to check their eligibility for reappeal and fresh arbitration.

CollectionPro typically offers full-fledged arbitration services to healthcare providers by advancing the entire administration and arbitration fees, leaving providers with no risk. Providers pay a success-based fee, as low as 10%, only after reimbursement recovery. The Free Evaluation is available for a limited period applicable to all specialties burdened with out-of-network claims, including air ambulance, neurosurgery, anesthesiology, ambulatory surgical, orthopedics, plastic surgery, neonatology, emergency medicine, pathology, critical care providers, cardiology, nephrology, radiology, obstetrics and gynecology and other providers managing out-of-network claims with Medicare, Medicaid or commercial payers. Healthcare providers may request a Free Evaluation at https://collectionpro.com/free-evaluation.