CollectionPro, the nation’s premier out-of-network and accounts receivable solution is proud to announce a new strategic partnership with a prominent California-based neurology practice. This collaboration aims to address the growing financial complexities faced by the physician here in term of out-of-network claims and all pending AR.

As neurologists increasingly deal with out-of- network services in a constant basis, the burden of administrative billing has reached a breaking point. By leveraging CollectionPro’s proprietary data analytics and arbitration expertise, the neurology group will now be able to capture maximum value from out-of-network claims that are frequently underpaid or wrongfully denied by commercial insurers.

Bridging the Gap in Reimbursement

In the current California market, many neurology practices find themselves at a crossroads. While they provide life-saving care for conditions such as multiple sclerosis, Parkinson’s disease, and epilepsy, the reimbursement rates offered by in network contracts often fail to account for the actual cost of providing high-touch, specialized medicine. Consequently, many providers opt for out-of-network status to maintain the quality of their care only to be met with aggressive "shadow pricing" and "silent PPO" tactics from payers.

"We are thrilled to partner with one of California's top neurology groups. Our mission is to ensure that when a physician provides elite level care, the insurance company cannot use opaque algorithms to underpay the claim. We are here to restore the balance of power between the provider and the payer." stated the spokesperson of CollectionPro Maverick Johnson.

The CollectionPro Advantage: Beyond Traditional out-of-network solution:

What sets CollectionPro apart from traditional medical billing companies is its aggressive, legal-centric approach to out-of-network claims. While standard RCM companies often "accept" a payer’s initial low-ball offer to maintain high volume, CollectionPro treats every claim as a potential solution to solve with its best arbitrator on-the house. In fact, the success rate of CollectionPro is 92 % today.

Through this partnership, the neurology group in fact will benefit from:

Data-Driven Negotiations: Utilizing a vast database of regional reimbursement benchmarks, CollectionPro identifies exactly where an insurer has underpaid a claim relative to the California market.

End-to-End AR Management: From initial submission to the final appeal or arbitration support, CollectionPro manages the entire lifecycle of the OON claim, allowing the neurology staff to focus exclusively on patient outcomes.

Guarantee win ratio – At CollectionPro we charge as low as 10 % of the win ratio once the case is won. Furthermore, CollectionPro handles other cost like administrative fee and arbitration fee for the client.

California has some of the most stringent and complex healthcare regulations in the United States, including specific rules regarding "surprise billing" and the Independent Dispute Resolution (IDR) process. For a neurology practice, navigating these waters while managing a full patient load is nearly impossible. This partnership will be a regulatory shield. CollectionPro’s expertise in California specific insurance law not only ensures that the neurology group remains compliant with the No Surprises Act (NSA) but will help asserting its right to fair compensation for services rendered outside of restrictive PBM and payer contracts.

"By partnering with us, this neurology group is making a statement: they value their expertise and their patients’ access to care and we are the engine that makes that independence possible."