CollectionPro Services

What CollectionPro Services does

CollectionPro Services LLC is a privately held New York-based healthcare revenue recovery firm that specializes in out-of-network (OON) claim disputes and legacy accounts receivable recovery for healthcare providers. The company operates exclusively as a B22B service provider targeting hospitals, ambulatory surgical centers, specialty physician practices, and health systems across the United States, with a multi-state licensed in-house legal team led by David Nissanoff.

The firm's core capability is the federal No Surprises Act (NSA) Independent Dispute Resolution (IDR) arbitration process, augmented by state-level arbitration expertise. Its proprietary technology stack includes a QPA Analytics Engine benchmarking claims against Qualifying Payment Amounts using historical IDR outcomes and specialty-specific cost data, an AI-assisted probability calculator for formulating recovery strategies, a real-time customized reporting dashboard, and claims scrubbing and coding optimization tooling. CollectionPro advances all $115 administrative fees and arbitration fees (up to $1,200) on behalf of clients, removing financial barriers to pursuing claims and aligning vendor incentives with recovery outcomes.

The revenue model is performance-based contingency pricing at as low as 10% of the recovered balance, payable only after a successful judgment. Three integrated service lines — Out-of-Network Billing and Collections, Payer-Based Collections, and Accounts Receivable Services for aged claims up to 3 years — generate revenue from a high-volume book of cases (10,000+ arbitrations filed) with a reported 92% dispute success rate. The firm advances per-case working capital and sustains operations without disclosed external funding, relying on a consultative direct-sales motion supported by content marketing, case studies, referrals, and a free consultation model.

Name

CollectionPro Services

Legal name

CollectionPro Services LLC

Website

https://collectionpro.com

Company type

Private

Operating status

Operating

Headcount range

51–100 employees

Short description

CollectionPro Services LLC is a privately held New York-based healthcare revenue recovery firm specializing in out-of-network claim disputes and legacy accounts receivable recovery for US healthcare providers via No Surprises Act IDR arbitration, contingency pricing at as low as 10%, and an in-house multi-state licensed legal team.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Collection Agencies (56144)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro industry

PRIMARYBPAAAEAJ

Specialty & Regulated Collections (Medical, Student Loan, Government, HOA)

Business & Public Services/Administrative & Support Services (BPO, Call Centers, Back Office)/Collections, Recovery & Skip Tracing Services

SECONDARYBPAAAEAD

Late-Stage / Hard Collections (Charge-Off, Litigation Prep Support)

Business & Public Services/Administrative & Support Services (BPO, Call Centers, Back Office)/Collections, Recovery & Skip Tracing Services

SECONDARYFSAKAJAD

Legal Collections & Litigation Support (Judgments, Garnishments)

Financial & Insurance/Lending & Consumer Finance/Debt Collection, Recovery & Servicing

Keywords

• Healthcare revenue recovery
• Out-of-network collections
• Medical claims arbitration
• Accounts receivable management
• Medical billing services

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Contingency-Based IDR Arbitration Services: CollectionPro charges a performance-only contingency fee of 10% of the recovered balance (the difference between the claimed amount and the payer's initial offer). No fees are charged unless they successfully recover more than the initial payer offer. The company advances all $115 administrative fees and arbitration fees (up to $1,200) on behalf of clients, eliminating upfront cost barriers.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

CollectionPro Services recovers out-of-network underpayments and aged accounts receivable for US healthcare providers through Federal and State Independent Dispute Resolution (IDR) arbitration under the No Surprises Act, supplemented by payer-based collections and aged A/R cleanup for claims as old as three years. The firm advances all administrative ($115) and arbitration (up to $1,200) fees on behalf of clients and charges a contingency fee as low as 10% of the recovered balance, payable only after successful recovery. Services are delivered by an in-house team of multi-state licensed attorneys and IDR specialists supported by proprietary QPA analytics and specialty-specific cost data.

Product overview

CollectionPro Services is a healthcare revenue recovery company offering three integrated core services. The Out-of-Network Billing and Collections service specializes in Federal and State IDR arbitration under the No Surprises Act to recover underpaid OON claims. The Payer-Based Collections service manages accounts receivable from Medicare, Medicaid, and commercial payers. The Accounts Receivable Services targets aging claims over 90-120 days for recovery. The three services work together as an end-to-end revenue recovery solution, with the OON and Payer-Based services handling current claims and A/R services addressing older outstanding receivables—all provided with zero upfront fees and contingency-based pricing (as low as 10% of recovered amounts).

Differentiator

Problem solved

Functional benefit

Products and services

• Out-of-Network Billing and Collections Comprehensive out-of-network claims recovery service that helps healthcare providers recover OON underpayments through Federal and State Independent Dispute Resolution (IDR) arbitration, including claim evaluation, evidence-based case building, documentation, filing, payer negotiation, and remittance follow-up. Targeted at physicians, group practices and facilities facing denied or underpaid OON claims under the No Surprises Act.
• Payer-Based Collections Accounts receivable management service focused on collecting payments from Medicare, Medicaid, and commercial insurance plans. Addresses denials, underpayments, and long adjudication cycles to optimize provider reimbursements under full HIPAA compliance. Targeted at healthcare providers needing end-to-end payer collections and denial management.
• Accounts Receivable Services Targeted recovery service for aging receivables over 90-120 days, executing A/R clean-up to uncover, re-file, or appeal claims and recover uncollected payments. Claims as old as three years are eligible for reopening and re-filing. Targeted at healthcare providers with outdated A/R backlogs and stale receivables.

Quantifiable outcome

• Providers collect 39x more than the payer's offer (case study: $396,000 vs $10,099)
• +4 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators8 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• Candid Health: Candid Health is an AI-driven RCM automation platform for healthcare providers, addressing denials and claims workflows — an emerging competitor that could commoditize parts of CollectionPro's manual IDR case-preparation moat over time.
• Infinx: Infinx provides AI-enabled patient access and revenue cycle management solutions, including prior authorization and denial management — comparable as an emerging RCM technology peer focused on the same provider revenue challenges CollectionPro addresses.

Broad incumbents

• R1 RCM: R1 RCM is a major end-to-end healthcare revenue cycle management provider serving hospitals and large physician groups — comparable as a broad incumbent competitor to CollectionPro's niche OON/A/R services.
• Conifer Health Solutions: Conifer Health Solutions (a Tenet subsidiary) offers comprehensive RCM, denial management, and patient access services to hospitals and health systems — a broad incumbent comparable to CollectionPro's specialist recovery focus.
• Optum (UnitedHealth Group): Optum is the largest healthcare RCM, payment integrity, and analytics platform in the US — a broad incumbent whose revenue cycle services compete with CollectionPro for provider RCM wallet share, though IDR is one small slice of its portfolio.
• MultiPlan: MultiPlan is an established player in out-of-network reimbursement, cost containment, and payment integrity on the payer side — comparable to CollectionPro because it sits at the same OON/payer-provider dispute interface, but operates from the payer perspective.
• Waystar: Waystar is a healthcare payments and RCM technology platform addressing claims management, denials, and underpayments — comparable to CollectionPro as a technology-enabled player in the broader provider RCM and denial ecosystem.

Direct peers

• EnableComp: EnableComp specializes in complex claims reimbursement for healthcare providers, including underpayment recovery, denial management, and workers' compensation — directly comparable to CollectionPro's payer-based and OON recovery services.
• Aviacode: Aviacode provides medical coding and denial management services to healthcare providers, addressing underpayments and coding-related denials — a closely adjacent specialization to CollectionPro's claims recovery focus.
• Aspirion: Aspirion is a healthcare revenue cycle management firm focused on complex claims, denial recovery, and aged A/R — directly competing with CollectionPro's payer-based collections and accounts receivable service lines.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/Collectionpro_
• Facebookfacebook.com/61581135644426
• LinkedInlinkedin.com/company/collectionpro-services-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CollectionPro Services