In the high-stakes world of Assisted Reproductive Technology (ART), a fertility clinic isn’t just a medical facility—it is a sanctuary of hope. With the U.S. fertility market projected to surpass $10 billion by 2026 and reach nearly $20 billion by 2034, the financial scale of your practice is immense. However, with the average IVF cycle costing between $15,000 and $25,000, uncollected balances can quickly aggregate into seven-figure deficits that threaten your clinical innovation.
Nexa serves some of the largest and most prestigious fertility clinics in the USA.
We understand that for an elite practice, “standard collections” are a liability. We provide a high-diplomacy “Reputation Shield“ that recovers your capital without ever compromising the patient-provider bond.
Nexa provides a reputation-safe approach, equipped with all 50-state collections license, offering free credit reporting, free litigation, free bankruptcy scrubs, and zero onboarding fees. Secure – SOC 2 Type II & HIPAA compliant. Over 2,000 online reviews rate us 4.85 out of 5.
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The Reputation Shield: Why 100% Call Auditing is Non-Negotiable
For a multi-location fertility group, a single “rogue collector” can trigger a “review-bomb” PR crisis that targets your clinic’s perceived empathy. Since 87% of patients read reviews before selecting a provider, one bad interaction can cost you dozens of future cycles.
At Nexa, we utilize The “Velvet Hammer” Approach. We rebrand our outreach specialists as “Account Reconciliation Concierges.” They don’t call to demand cash; they call to help families navigate the complex billing maze of insurance gaps and high-deductible plans.
| Our Velvet Hammer Collections Strategy: 🔨 We use a diplomatic style that is firm enough to secure payment but respectful & soft enough to protect your 5-star online reputation. We recover more by working with the debtor rather than arguing against them because we keep them willing to resolve with you instead of fighting you. |
To protect your brand:
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We record every interaction and perform random quality-control reviews.
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We ensure 100% compliance with the No Surprises Act and HIPAA.
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We utilize a tone that acknowledges the “emotional debt” of failed cycles, prioritizing resolution over confrontation.
The “Zero-Contingency” Rule for Egg Freezing & Cryopreservation
Egg freezing (Oocyte Cryopreservation) is a long-term commitment to a patient’s future. Because these accounts involve recurring storage fees and a high degree of patient foresight, we recommend a specialized strategy:
- For Cryopreservation Dues: We advise against using contingency collections as a primary strategy, as it can be perceived as overly aggressive and may negatively impact your client rapport. Instead, we utilize our proven $15 Fixed-Fee Service, which consistently delivers strong recovery rates in such cases. We suggest escalating to contingency collections only for high-value accounts on a case-by-case basis.
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This acts as a professional, third-party “administrative nudge.”
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It preserves the long-term storage relationship without the pressure of percentage-based commissions.
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The result: Your lab keeps its samples, and your clinic keeps its reputation.
The Hybrid Recovery Model: Beating the “90-Day Cliff”
Industry benchmarks show that high-performing fertility clinics keep their Days in A/R under 40. Once a balance crosses the 90-Day Cliff, the probability of recovery drops by nearly 50%. Nexa uses a staged approach to capture this revenue before it evaporates.
| Phase | Target Debt Age | Strategy | Your Cost |
| Phase 1: Fixed-Fee | 60–180Days | Diplomatic “Account Concierge” nudge. Paid directly to you. | $15/account |
| Phase 2: Contingency | 120+ Days | Intensive mediation for stubborn or “ghosted” balances. No recovery – No fee. | 40% |
By leading with the $15 Fixed-Fee phase, you resolve the 60% of balances that are usually caused by simple insurance confusion, allowing you to keep 100% of the recovered funds.
Navigating Current Legal Realities (SB 1061 & The New Credit Ban)
The legal landscape for fertility debt has shifted fundamentally. Under Current California law (SB 1061) and similar national trends, medical debt can no longer be reported to consumer credit bureaus. This renders traditional “threat-based” collections obsolete. Success now depends entirely on skilled mediation. Nexa’s partners are experts in this “post-credit-reporting” reality. We rely on diplomatic dialogue and “Choice Architecture” (offering structured payment paths) to secure payments that others simply can’t reach.
Recent Recovery Success for Large-Scale Clinics
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Multi-State IVF Group: Recovered $342,000 in aged “ghost bills” (where patients were confused by lab vs. clinic charges) using our Velvet Hammer mediation.
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Regional Cryopreservation Lab: Resolved 65% of delinquent storage accounts using a pure $15 Fixed-Fee model, maintaining a 4.9-star Google rating across all locations. Effective fixed fee-collections cost to the client was than 5%.
Frequently Asked Questions (FAQ)
Q: Does Nexa handle high-volume placements for national groups?
A: Yes. We serve some of the largest fertility networks in the U.S., providing a centralized portal to manage recovery across multiple tax IDs and locations.
Q: How do you handle patients with failed outcomes?
A: Our specialists are trained in “Emotional Debt” recognition. We adjust the cadence and tone for patients grieving a failed cycle, ensuring your clinic is never viewed as predatory during a sensitive time.
Q: Is there a minimum balance?
A: No. Our $15 model makes it cost-effective to recover even small storage fees that traditional agencies would ignore.
Next Step for Your Clinic:
Would you like to see our Current Fertility ROI Matrix to see how much “lost revenue” we can recapture for your practice this quarter?
| Looking for a collection agency experienced in fertility clinic accounts? Serving Nationally while protecting your reputation |