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.
Contact us today to receive more information or speak with a Valletta billing expert.