Payor Contracting

and Reimbursement Services

At Valletta, our team understands that obtaining quality, physician-friendly contracts with insurance providers is the first step toward optimized revenue cycle management.

The Steps of Payor Contracting

How We Help

Draft payor letters regarding service differentiation

Contact payors to discuss contracting process

Complete in-network participation requests with each payor

Provide feedback to client, upon receipt and analyzation of contract and fee schedule

Negotiate final terms of contract with payor

Obtain necessary provider data for completion of credentials verification

Complete provider applications

Update CAQH records with payors

Submit and verify receipt of the credentialing application to designated health plans

Follow up on application with designated health plans, to ensure completion

Document receipt of requested information by designated health plan

Conduct follow-up activities, document acceptance or rejection information from the plan

Summary of Contracting

Payor contracting is a complex task that many healthcare providers manage on their own. Unfortunately, doing so often leaves a lot of money on the table. The reality is that with professional assistance, the terms of these contracts almost always end up being more favorable to the physician. Our teams know what insurers are willing to pay. We know when they’re holding back. We do this every day. Let us help you.

Visit our Blog

for further information about Patient Collections and much more.

Blog

Contact Us:

The Valletta Group

The Medical Billing Company Physicians Prefer

600 Century Park South, Birmingham, AL 35226 | (888) 874-7084

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.