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new practice start-up
WHAT TO EXPECT
We will walk alongside you from the moment you receive a tax ID through receiving your first insurance payment. Payors are currently processing individual enrollment and contracting in 90 days
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Adding a Provider
WHAT TO KNOW
Adding a provider to an active contract or roster is a simple process. Complete information, good planning, and ensuring you understand their licensure scope will deliver a shorter time to reimbursement.
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Expanding Payor Network
ADDING CONTRACTS
You are able to apply for a contract with an insurance company at any time. You should anticipate the processing time for any new contract relationship will take at least 90 days.
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Provider Maintenance and Compliance
DETAILS THAT MATTER
Trust us to know the details. We assist with revalidations, hospital (re)appointments, license registration and expirations, DEA, BNDD, CAQH, ADA, NPPES/I&A, portal registrations, roster updates, CLIA, and a long list of others.
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Hospitals to Private Practices
SERVICE FOR ENTITY TYPE
Different entity types demand different enrollment, contract management, compliance, negotiation, and processes. No matter the size, we know the details to ensure your process amplifies your cash flow.
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New State Expansion
EXECUTIVE ENTRY MARKET
We have on the ground experience in all 50 states. When you are ready to move your business to a new market, let us help you vet the payor network, fee schedules, and start your expansion.
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Managing Payor Relationships
MAINTENANCE MODEL
When you are ready to use a third party to manage all aspects of your growing business, talk to us about how our managed service can take over everything from CAQH to roster management.
WE FOCUS ON
Best Practices.
Healthy cash flow is built on the foundation of payor contracts. Accurate, up-to-date, complete, well negotiated contracts will determine the ease, speed, and volume of cash flow you will be able to sustain. Provider enrollment is a details game where any mistake can mean a real loss of money down the road. Don’t leave it to chance or guesswork. Follow prescribed and proven payor processes.
- Complete Information the First Time
- Paperless Collaboration
- Plan Visibility and Tracking
- Intermittent Fee Schedule Negotiation
- Nurtured Payor Relationship
- IPA and MSO Integrations
- Technology Infused Workflows
Entity and License Types.
We work with you where you are and collaborate on developing best practices as we go. Operational excellence is found in the details. We will always be innovating the processes to keep up with the industry and be looking for a better way. These adjustments and processes are the building blocks of our success.
- ABA and Autism
- Anesthesiology
- Audiology
- Cardiology
- Dermatology
- ENT
- Emergency Medicine
- Endocrinology
- Endovasular
- Family Practice
- Gastroenterology
- General Surgery
- HCFA & UB04 (Facility)
- Hematology
- Hepatology
- Internal Medicine
- Mental and Behavioral Therapies
- Neurology
- OB GYN
- Ophthalmology
- Optometry
- Orthopedics
- Pathology
- Pediatrics
- Plastic Surgery Cosmetic
- Podiatry
- Psychiatry
- Psychology
- Radiology
- Rheumatology
- Social Work
- Urgent Care
- Urology
National Coverage.
We have offices around the United States
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Schedule a Call.