CollectionPro Launches Free Evaluation Service to Help Healthcare Providers Identify Recoverable Out-of-Network Claims

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. This service comes at a critical time when healthcare providers face increased financial pressure from underpayments and complex administrative requirements under the No Surprises Act.

The No Surprises Act, which took effect in 2022, fundamentally changed out-of-network reimbursement workflows by prohibiting balance billing and shifting greater financial responsibility to payers. Many providers struggle to determine which claims qualify for IDR escalation, leading to significant revenue loss. CollectionPro's evaluation service offers a no-cost review of OON claims to 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.

"Many providers simply don't pursue arbitration because they aren't certain about which claims qualify," said Maverick Johnson, spokesperson for CollectionPro. "The Free Evaluation removes that uncertainty and helps providers identify whether a legitimate recovery pathway exists." The company 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 evaluation service is particularly important because CollectionPro's team reviews aging OON claims, including those up to 3 years old, to check their eligibility for reappeal and fresh arbitration. This addresses a significant gap in revenue cycle management for many healthcare organizations that may have abandoned potentially recoverable claims due to uncertainty about eligibility requirements. The company typically offers full-fledged arbitration services by advancing the entire administration and arbitration fees, leaving providers with no financial risk.

Healthcare providers pay a success-based fee, as low as 10%, only after reimbursement recovery, with no subscription costs, hidden fees, or binding contracts. The free evaluation service is available for a limited period to all specialties burdened with OON 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 OON claims with Medicare, Medicaid or commercial payers. Providers can request the evaluation through the company's website at https://collectionpro.com/free-evaluation.