Complex Reimbursement Claims Specialists


The claims process is getting more and more complex. You need an expert on your side to level the playing field with payors. At Collect Rx, whether you are in-network or out-of-network, we work even the most complex claims through to resolution, ensuring that you get the highest reimbursement for even the most challenging cases.

Serving All Your Needs

Complex In-Network and Out-of-Network

We have helped over 2,100 surgery centers, physician practices, laboratories, community and physician-owned hospitals, behavioral health facilities, dialysis centers and health systems throughout the country.

Scaled for Success

Billions of Dollars in Processed Bills Handled Annually

We are the only company in the country focused solely on helping providers maximize reimbursements while leveraging a unique expertise and understanding of out-of-network bills.

Experience that Matters

The Team that Built the Other Side of the Business

Our professionals have worked for health insurers and their out-of-network pricing partners and possess a depth of knowledge with an intimate understanding of the tactics payors use to decrease your revenue.

Technology that Drives Results

Millions of Interactions Captured and Indexed Annually

Our algorithms automatically identify similar claim patterns, leverage prior agreements and use our knowledge of the insurance companies own strategies against them in driving higher payments.

Complex Reimbursement Specialists

With Collect Rx, you can increase payor collections, automate processes, ensure that each claim is paid at the highest rate, and still reduce your AR days. Collect Rx is singularly focused on getting all your claims paid correctly, completely and on time for both in- and out-of-network reimbursements.

Through reconciliation processes, workflow optimization, data and analytics, and unique payor-side knowledge, Collect Rx is your prescription for increasing cash flow and managing A/R as you focus your attention on patient care.

The Collect Rx Revenue Cycle
Management Platform

The Keys to Maximizing

Knowledge of Payor-Side Incentives

Insurance company secrets

Understand the financial and customer incentives of health insurers and their vendors


Insight only we can see

Millions of claim interactions from more than 2,100 customers nationwide


We catch it, we capture it

A unique combination of automation and optimized processes drive recovery rates


We're laser sharp

Devoted 100% to helping providers maximize reimbursements

Specialized Out-of-Network Expertise

We wrote the rules

The largest national database of out-of-network reimbursement patterns by all major payors

Billing &

The devil is in the details

Undivided attention paid to auditing and reconciliation

Healthcare Recovery Attorneys

We cover all the bases

Large staff of experienced healthcare attorney resources available at no extra charge


Nothing gets past us

In-depth defense keeps your data from prying eyes


DRGs driving you down

Ensure procedural billing rates remain as billed

CRXIS™ Business
Intelligence Engine

CRXIS is Collect Rx’s proprietary database and software solution that provides us with the engine to maximize out-of-network reimbursements. It delivers information regarding insurance policies, provides claim-level comparable data, and tracks the trends and tendencies of the insurance companies and their vendors.

A sophisticated tool that streamlines A/R follow-up, delivering transparency, accountability, and most importantly, results!

Automatically scan payor websites, 835 data, transaction data, and every account in your A/R by the use of bots.

Identify, assign, and prioritize at-risk accounts so no claim is overlooked.

Reconcile every account, from assignment to zero balance, to make sure nothing slips through the cracks.

What Our Customers Say


"I’m very satisfied with your performance to date. Collect Rx has driven our reimbursement rate from less than 50% to over 90% on average! Needless to say, I’m thrilled!"


“Great work by your team right out of the gate. Now that we've streamlined our entire process, we're seeing the double impact of both increased payments AND reduced costs!


"Collect Rx provides a very valuable service. Before I saw this in action I never imagined it would be so profitable. Keep up the good work!"


Download our

Leveraging our RCM expertise and insights gained during discussions with thousands of customers, we've developed resources to answer your questions and identify the right solution.

View Our Webinars with
Becker’s Healthcare

We’ve partnered with Becker’s Healthcare to bring you the most up to date industry insights into out-of-network reimbursement, payor collections and revenue cycle management.

Read the Case

Collect Rx has helped providers in Ambulatory Surgery Centers, Physician Practices, Hospitals and Behavioral Health facilities maximize their reimbursements and optimize their RCM functions.




Average increase of initial payment for qualified claims


Focused on getting the highest reimbursement for every claim

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