CollectionPro Expands Healthcare Claims Recovery Services with New Chicago Hospital Client

CollectionPro, a healthcare reimbursement recovery and arbitration management solutions provider, has expanded its client base with the acquisition of another hospital-client in Chicago. This development comes as healthcare organizations increasingly struggle with underpaid claims, regulatory compliance, and administrative burdens tied to reimbursement disputes.

The company's services are designed to address challenges stemming from the No Surprises Act (NSA) and various state-level balance billing laws, particularly for out-of-network billing scenarios. CollectionPro handles pending claims by reopening and scrubbing old claims, managing negotiations, and guiding them through arbitration, which significantly reduces administrative overhead and improves the likelihood of fair reimbursement outcomes.

CollectionPro operates across three primary service tracks. The Federal No Surprises Act IDR Management establishes open negotiation workflows, drives IDR appeals, and supervises federal arbitration through the national dispute portal available at https://www.cms.gov/nosurprises. The State Surprise Bill and IDR Resolution offers custom-tailored compliance processes for each state's unique timelines, laws, and documentation standards. The Negotiation and Settlement Optimization leverages advanced data modeling and proprietary benchmark analytics to identify equitable reimbursement outcomes.

Each service track is supported by core functions including claim validation, deadline tracking, data reconciliation, and comprehensive outcome reporting, ensuring claims follow a compliant, data-backed trajectory from initiation to resolution.

A key differentiator for CollectionPro is its performance-based compensation model, where providers pay only when recoveries are achieved. Under this contingency framework, compensation is tied directly to measurable reimbursement results—if no additional funds beyond the payer's initial offer are secured, the provider owes nothing. This approach includes advancing all administrative and arbitration costs during the trial period, ensuring financial predictability for clients.

The company maintains HIPAA compliance, advanced cybersecurity standards, and robust Business Associate Agreement protocols across all engagements. Its infrastructure provides complete audit trails, PHI encryption, and continuous data integrity monitoring, offering healthcare providers regulatory assurance and operational security.

Healthcare providers across the United States face mounting pressure from declining payer reimbursements, delayed arbitration outcomes, and evolving regulatory mandates, which collectively erode margins and increase operational strain. CollectionPro addresses these challenges by helping providers recover underpaid claims faster through expert-driven IDR filings, improving reimbursement accuracy with real-time comparative rate analytics, ensuring compliance with NSA and state-specific arbitration frameworks, reducing administrative costs through automated reconciliation and dispute management tools, and providing integrated dashboards for visibility into payment trends and dispute outcomes.

Maverick Johnson, spokesperson for CollectionPro, stated that the company helps providers recover rightful revenue from out-of-network and underpaid claims, enabling them to act with confidence backed by data and automation rather than guesswork. The team brings decades of experience in claims recovery, payer relations, and dispute resolution management, serving as both an operational partner and revenue advocate to deliver measurable improvements in cash flow and financial sustainability without adding administrative burden.