STRONGER CASES. BETTER RECOVERY.
Turn Underpaid Out-of-Network Claims Into Stronger IDR Cases
CollectionPro builds evidence-backed IDR cases designed to help providers pursue appropriate reimbursement on out-of-network claims while reducing the administrative burden on internal teams.
From claim evaluation and open negotiation through evidence preparation, arbitration management, and award recovery, our specialists support the full dispute lifecycle with no administrative or arbitration fees paid out of pocket by the practice.
DON'T SETTLE TOO SOON
Don’t Let the Payer’s First Offer Define Your Reimbursement
Federal IDR is not simply about asking for a higher payment. It is about presenting a well-supported case with the right QPA analysis, market-rate comparisons, provider qualifications, patient acuity, case complexity, reimbursement benchmarks, and supporting documentation.
IDR Arbitration Support at a Glance
IDR Coverage
Specialists
Pricing
Process
UNDERSTAND THE FRAMEWORK
What the No Surprises Act Means for Your Out-of-Network Claims
The federal No Surprises Act created a structured Independent Dispute Resolution pathway for certain out-of-network payment disputes, giving providers a formal mechanism to challenge inadequate reimbursement.
The process also introduced strict timelines, QPA considerations, open negotiation requirements, documentation standards, and jurisdictional rules that can make arbitration difficult to manage alongside day-to-day billing operations.
CollectionPro supports providers through these requirements by organizing documentation, preparing evidence-backed submissions, tracking deadlines, and managing each case through final determination and recovery.
END-TO-END SUPPORT
6 Ways CollectionPro Supports the IDR Process
THE COMPLETE JOURNEY
The IDR Process at a Glance
Who We Support
IDR Arbitration Support for a Wide Range of Providers
CollectionPro supports providers across multiple care settings and entity types, structuring each dispute around the evidence and reimbursement issues relevant to the claim.
CLAIMS WE HANDLE
The Out-of-Network Disputes We Take to Arbitration
- Emergency Department CareOut-of-network ER physician and facility charges where the payer offer falls below relevant QPA benchmarks.
- Surgical & Specialty ServicesOut-of-network surgeons and specialists performing procedures at in-network hospitals or surgical centers.
- Anesthesia & Ancillary BillingAnesthesia, pathology, and radiology charges billed separately from a primary in-network procedure.
- Diagnostic Imaging & LabImaging and laboratory disputes where reimbursement may fall short of regional cost and complexity benchmarks.
- Facility-Based Physician ChargesIn-network facility, out-of-network physician scenarios that commonly generate payment disputes.
- State-Regulated Plan DisputesBalance billing arbitration under applicable state-specific frameworks for fully insured plans.
THE IDR DIFFERENCE
General RCM Teams vs. Dedicated IDR Arbitration Support
THE COLLECTIONPRO ADVANTAGE
Why Providers Choose CollectionPro
Arbitration support designed around evidence, specialized expertise, transparent reporting, and reduced upfront financial risk.
STOP ACCEPTING THE PAYER'S FIRST OFFER
Request a Free IDR Arbitration Review
CollectionPro's IDR specialists can review your out-of-network claims at no cost and help identify which disputes may be appropriate for arbitration before you file.
Frequently Asked Questions
No Surprises Act & IDR Arbitration FAQs
The IDR process is the binding arbitration mechanism created under the federal No Surprises Act for certain out-of-network reimbursement disputes after open negotiation does not resolve the payment issue.
Eligible providers may include physicians, group practices, ambulatory surgical centers, skilled nursing facilities, and hospitals handling qualifying out-of-network claims.
Determination timing depends on the case and arbitration entity workflow. The source document notes that determinations are typically issued within 30 business days once an arbitrator is certified and selected.
Federal IDR includes administrative and arbitration entity fees. CollectionPro advances these fees on behalf of the provider under its stated engagement model.
CollectionPro reviews case evidence, benchmarks, and filing strategy to identify whether additional recovery options may be available.
Federal and state dispute pathways differ by plan type and jurisdiction, so the correct arbitration framework should be identified before filing.
Get In Touch
Got Question? Ask Us
(212) 243-3516
contact@collectionpro.com
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