Provider Contracting
Getting In-Network Is a Negotiation, Not a Form.
Network participation, fee schedule negotiation, and executed contracts that match what was agreed.
What we do
Credentialing gets a provider approved. Contracting decides what that provider gets paid. They are not the same job, and treating them as one is how practices end up in-network at rates nobody ever agreed to.
We pursue participation with the payers that actually matter for your patient mix, benchmark the offered fee schedule against what is achievable in your market, negotiate where there is room, and confirm the executed contract matches the terms before anyone signs.
What’s included
- Payer Network Applications
- Fee Schedule Negotiation
- Rate Benchmarking
- Closed-Panel Appeals
- Group vs Individual Participation Strategy
- Contract Execution & Countersignature Tracking
- Effective Date Confirmation
- Contract Repository
Our process
How provider contracting runs with us.
01
Payer Mix Review
We look at where your patients actually come from, so effort goes to the payers that move your revenue.
02
Target & Prioritize
Payers ranked by volume opportunity and likelihood of participation, including panels currently closed.
03
Apply & Negotiate
Applications filed, offered rates benchmarked, and counter-proposals made where the market supports them.
04
Execute & Verify
Final contract read against what was agreed. Countersignature and effective date confirmed in writing.
05
Maintain
Executed contracts and fee schedules kept in one place, with renewal and amendment dates tracked.
Who it’s for
You’ll recognize yourself here.
- New practices building a payer panel from nothing
- Practices being paid below market and unsure by how much
- Providers turned away from a closed panel
- Groups that have never read their executed contracts
Review Your Payer Contracts
No sales pitch. Just a conversation about what's actually going wrong and what it would take to fix it.