Name: Out-of-Network and A/R Claim Collection Experts
Brand: CollectionPro
Rating: 4.9 (234 reviews)

MOST COMPREHENSIVE RANGE OF ARBITRATION SOLUTIONS

Expert Federal and State-level IDR Arbitrations for Medicare and Medicaid

Free your chained revenue from underpaid or denied Medicaid HMO & MCO claims with powerful state-level arbitration support.

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GET STARTED BY PAYING NOTHING

Zero Arbitration Fees. Zero Admin Fees. Zero Risk!

We advance the full administrative fee ($115) & arbitration fee (up to $1,200) on your behalf, leaving you at no risk.

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PROVEN EXPERTISE IN OON RECOVERY

10,000+ Out-Of-Network Wins Since 2022. Millions Recovered.

From coast to coast, we’ve helped physicians
reclaim the revenue payers tried to keep. You
can be our next success story.

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LOWEST RECOVERY CHARGES. NO HIDDEN COST.

Pay Us Only If You Win, As Low As 10%.

We recover your money, and you pay only
after success. No hidden fees. No fine print.
Just results.

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METICULOUS. COMPLIANT. UNSTOPPABLE.

Detailed Documentation & Strategic Reasoning For Compelling Appeals.

IDR submissions powered by nearly 2 decades of RCM excellence, AR recovery, and proven compliance framework.

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THE MOST COMPREHENSIVE OUT-OF-NETWORK COLLECTION SERVICE

We Collect for All – Physicians, Group Practices & Facilities.

Our universal approach ensures that every entity involved in an out-of-network scenario gets their dues from the Payer.

Unleash the Excellence

TRACK EVERY CLAIM. EVERY DOLLAR. EVERY WIN.

Customized, Transparent & Real-Time Reporting.

Customized reports with real-time updates on the end-to-end process for ultimate transparency.

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Proactive, precise and proven SOLUTIONS

COMPREHENSIVE SUPPORT WITH COLLECTIONS

Out-of-Network Collections

We recover out-of-network underpayments through IDR arbitration by evaluating claims, building strong cases, and securing higher reimbursements.

Payer-Based Collections

We manage A/R from payers like Medicare and commercial insurers, addressing denials, underpayments, and long adjudication cycles to optimize collections.

Accounts Receivable Management

We target older receivables over 90-120 days, executing A/R clean-up to uncover, re-file, or appeal claims and recover uncollected payments.

WHY CHOOSE US

ONE-STOP DESTINATION FOR COMPLETE COLLECTION SOLUTIONS

Focused solely on helping providers collect their rightful dues from both ‘in-network’ and ‘out-of-network’ claims, we empower healthcare professionals and facilities across USA with fast, powerful and compliant revenue recovery solutions. Armed with deep payer-side expertise, we specialize in denial management and A/R recovery—driving faster, higher reimbursements.

No Administrative and Arbitration Fees: We advance them on your behalf so you can get started at zero cost and no risk.
In-house ‘No Surprises Act’ Specialists: Full-time arbitration experts with 10,000+ appeals till date.
Multi-payer Expertise: Collect from claims belonging to Medicare, Medicaid, and private insurance plans.
Comprehensive Coverage of ‘Balance Billing’ Laws: Revenue recovery through both Federal and State-level IDR arbitrations – as applicable.
Unmatched Support for Highly Aged Claims: We re-open and re-file claims as old as 3 years or more, and bring home the money.
As Low As 10% Success-based Recovery Fee: Simple, predictable pricing across the board – payable only after a favorable judgment.
Tailored, Transparent Reporting: Customized reports keep you fully informed along every step of the recovery journey.

proven process to maximize out-of-network reimbursements

Our 8-Step Path to Total Claim Recovery

ANALYSIS

We analyze all claims based on their age, value, CPT codes involved, Payer, and eligibility for IDR filing – using advanced analytics.

STRATEGY

Using historical data, past Payer behavior, and AI-assisted probability calculation, a fully customized recovery strategy is formulated.

REVIVAL

Eligible claims are reopened and fresh negotiations initiated, including securing a new extension of the arbitration window for re-appealing denials.

DOCUMENTATION

We gather all necessary documents and medical proof to build a compelling case, before scrubbing and resubmitting claims.

CODING

Every line item in the claim is scrutinized – batched or separated as necessary – and submitted to maximize reimbursement.

FILING

The refurbished claim is filed for fresh negotiation under federal Independent Dispute Resolution or state-specific arbitration laws.

RESOLUTION

We closely monitor and facilitate the process to ensure the best outcome for the Provider, supplying supporting data and evidence when required.

REMITTANCE

Every line item in the claim is scrutinized – batched or separated as necessary – and submitted to maximize reimbursement.

efficient, reliable, and results-driven

10 REASONS TO CHOOSE COLLECTIONPRO!

EXPERT SUPPORT

NO ARBITRATION FEES

LOWEST COST

MULTI-PAYER EXPERTISE

AGED CLAIM COLLECTIONS

BEST RECOVERY METRICS

CUSTOM REPORTING

ACTIVE HELPDESK ACCESS

ZERO RISK SERVICE

NO BINDING CONTRACTS

Celebrating Excellence and Industry Achievement

Awards & Recognition

Straight From Our Clients

Client’s Testimonials

CollectionPro built the perfect evidence‑based case around our surgeon’s credentials and complexity of the procedure. They clearly demonstrated why our $23,000 charge was justified against the payer’s $3,613 offer. Thanks to these wizards, we recovered our full claim amount within 30 days!

I called CollectionPro when Anthem refused to pay anything for a complex elbow dislocation repair. They highlighted the acuity of the case, my specialized training and the lack of in‑network options… and helped me collect my entire $6,000+ billed charge.

When a Payor offered only $1,832 for a complex surgery that previously got reimbursed at over $40,000, CollectionPro dug into historical payment data and market benchmarks and convinced the arbitrator to award our full $38,512 charge – 20x times what the insurer offered! Thanks guys, you are amazing!

Just a quick note of thanks! We received the check for $116,110 from the payer last week. What a far cry from their $1,366 offer! Your solid appeals in the IDR, with all the clinical evidence and superb reasoning, did the trick. We are sending over some more AR for you to collect.