CollectionPro Services LLC, a specialist in out-of-network reimbursement and Independent Dispute Resolution (IDR), is highlighting a recent case that underscores a critical gap between winning an arbitration award and actually getting paid. The case, Jason Weissler v. United Healthcare (Index No.: 652776/2026), involves a multi-location cosmetic surgery and dermatology group that prevailed in Federal IDR after UnitedHealthcare submitted an offer of $0. The provider submitted an offer of $72,000. On February 18, 2026, the designated IDR entity selected the provider's full $72,000 offer and declared the provider the prevailing party.
The IDR determination required any amount due to be paid within the applicable 30-calendar-day period. However, according to CollectionPro, the award remained unpaid for months despite repeated reminders and demands for payment. With CollectionPro's strategic guidance and active support, the matter proceeded to the New York State Supreme Court, New York County, under CPLR Article 75. The petition sought enforcement and payment of the $72,000 IDR award, along with statutory interest, the IDR entity fee, associated costs and disbursements, and any other appropriate relief.
The case illustrates a growing concern for out-of-network healthcare providers: a favorable IDR determination does not necessarily mean the reimbursement process is over. "Providers should not have to assume that their work is finished simply because they received a favorable IDR determination," said David Nissanoff, spokesperson for CollectionPro. "The real objective is not just to win arbitration. It is to pursue the reimbursement the provider has been awarded. When payment remains unresolved after a favorable determination, providers need to understand what options may be available for the next stage of recovery."
CollectionPro's approach to out-of-network reimbursement extends across the recovery lifecycle rather than focusing solely on arbitration filings. Its process can include open negotiation, IDR strategy, evidence development, IDR determination, award tracking, and post-award escalation and enforcement support. This end-to-end approach is particularly relevant as providers navigate an increasingly specialized reimbursement environment under the No Surprises Act.
The company reports more than 10,000 out-of-network arbitrations filed and a 92% success rate, while its model includes advancing applicable arbitration costs and charging providers only following successful recovery. For providers, the case signals that collection challenges may persist even after a decisive arbitration win, making post-award enforcement expertise essential.
