Payer enrollment and network participation
We enroll your group and providers with commercial payers, Medicare, Medicaid and managed care plans, and follow each application through to a signed agreement.
What’s included
- Group and individual enrollment
- Network participation requests and contracting follow-up
- Linking providers to the group TIN
- Location and address updates
- Medicaid managed care plan enrollment
- Enrollment status tracking
How we handle it
Plan
Decide which payers matter for your market.
Apply
Group and provider applications submitted.
Follow up
Payer contacted until a decision or contract.
Load
Confirm the provider is loaded correctly before billing.
Details that matter
Some networks are closed to new providers in certain areas or specialties. We check network status first and, if a network is closed, ask about exceptions or a waitlist so you do not lose months waiting on an application that will not be accepted.
Questions about payer enrollment
What does closed network mean?
The payer is not adding providers in that specialty or area. Exceptions are sometimes possible, for example for underserved services.
Do you negotiate rates?
We can request rate reviews and compare offered rates, but final contract decisions stay with you.
See where your revenue is going.
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.