Provider Contracting
Strategic Payer Contracting & Rate Benchmarking.
Payer network strategy, fee schedule negotiation, and contract execution.
What we do
Credentialing qualifies a provider for reimbursement, while contracting sets the exact rate you are paid. We align provider participation with favorable fee schedules in your market.
We target payers key to your patient population, benchmark proposed fee schedules against regional standards, negotiate rates, and verify final executed agreements.
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
Analyze patient demographics to prioritize high-value payer opportunities.
02
Targeting & Prioritization
Rank payers by revenue impact and network accessibility.
03
Negotiation
Submit applications, benchmark offered fee schedules, and present rate counter-proposals.
04
Execution & Verification
Review final contracts against negotiated terms and confirm effective dates.
05
Contract Maintenance
Maintain executed contracts in a secure repository with renewal tracking.
Who it’s for
You’ll recognize yourself here.
- New practices establishing payer contracts
- Practices evaluating current fee schedule competitiveness
- Practices appealing closed payer panels
- Groups consolidating multiple provider 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.