CollectionPro Partners with RCM Company to Address Complex Out-of-Network Claims Management

CollectionPro Services LLC has announced a strategic partnership with a prominent Revenue Cycle Management company to manage and resolve its growing volume of out-of-network claims. Under this partnership, CollectionPro will serve as the dedicated Out-of-Network and No Surprises Act Independent Dispute Resolution arm for the billing organization, bringing its deep proficiency in balance billing laws, expert understanding of the federal arbitration process, and contingency-based recovery model to support complex payer disputes and underpaid claims.

Healthcare reimbursement has grown more complex than ever, with increased regulatory ramifications and highly intensified payer scrutiny. This has resulted in Out-of-Network claims and No Surprises Act Independent Dispute Resolution arbitration emerging as one of the most specialized and high-risk areas within revenue cycle operations. Many full-service Revenue Cycle Management companies, despite being intrinsically strong in core billing, coding, and follow-up with respect to in-network claims, lack the niche legal, regulatory, and operational infrastructure required to consistently succeed in the out-of-network domain. This partnership reflects a growing industry trend of Revenue Cycle Management firms turning to specialized partners to manage Out-of-Network and Independent Dispute Resolution workstreams that demand a different level of expertise.

Out-of-network recovery and Independent Dispute Resolution arbitration are no longer extensions of routine accounts receivable, according to Maverick Johnson, the spokesperson of CollectionPro. They are legal-regulatory processes that require mastery of No Surprises Act rules, Qualified Payment Amount benchmarks, documentation standards, and arbitration strategy. The company's role is to become the specialist engine behind Revenue Cycle Management companies that want results without building this capability in-house. With more Revenue Cycle Management companies lining up for partnering with them, especially in the wake of their most recent collaboration, CollectionPro is rapidly emerging as a preferred partner for Revenue Cycle Management companies seeking reliable, scalable solutions for out-of-network claim recovery, No Surprises Act-mandated Independent Dispute Resolution arbitration, and complex payer disputes across high-value specialties.

The company's core differentiation lies in its singular focus on No Surprises Act Independent Dispute Resolution and Out-of-Network recovery, supported by resident No Surprises Act and Independent Dispute Resolution experts with hands-on arbitration experience and strong legal acumen, top-notch performance metrics with 10,000 cases contested to date and 92% success rate, turnkey dispute management from claim analysis to post-award recovery, and low, contingency-based pricing of just 10%, aligning fees strictly with recovered revenue. This model allows Revenue Cycle Management partners to offer Out-of-Network and Independent Dispute Resolution services to their provider clients without incurring fixed costs, hiring legal specialists, or assuming regulatory risk.

Since the implementation of the No Surprises Act in 2022, the volume of Independent Dispute Resolution cases has surged far beyond initial federal projections. Providers and Revenue Cycle Management companies alike face mounting backlogs, rising arbitration fees, and increasingly technical payer arguments tied to Qualified Payment Amounts, coding, and medical necessity. For many Revenue Cycle Management firms, the choice is clear: either invest heavily in building an in-house No Surprises Act Independent Dispute Resolution practice, or partner with a specialist that already operates at scale. Revenue Cycle Management companies are realizing that Out-of-Network and Independent Dispute Resolution are not just another workflow; they are a separate discipline. These partnerships allow them to protect client revenue, enhance their service portfolio, and stay compliant, without diluting focus from their core operations.

This latest partnership marks another milestone in CollectionPro's rapid expansion as the dedicated Out-of-Network and Independent Dispute Resolution partner of choice for Revenue Cycle Management organizations across the United States. By combining regulatory depth, arbitration expertise, and a performance-based, no-risk pricing model, CollectionPro is enabling Revenue Cycle Management companies to turn one of the most challenging reimbursement problems in healthcare into a predictable, recoverable revenue stream. For more information about CollectionPro's services, visit https://www.collectionpro.com.