Contract review
Terms that matter explained: timely filing, recoupment, termination and rate escalators.
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Your payer contracts reviewed and your rates benchmarked, with a clear case put to payers for better reimbursement and fairer terms.
Many practices sign the first contract a payer sends and never revisit it, even as costs rise. Rates are often negotiable, especially when you can show value, access or a specialty the network needs.
We compare your fee schedules with Medicare and market benchmarks, identify your strongest leverage and handle the negotiation process with the payer.
Terms that matter explained: timely filing, recoupment, termination and rate escalators.
Your top codes compared with Medicare rates and typical market rates.
A written proposal built on access, quality, volume or specialty need.
We contact provider relations and follow up until there is an answer.
New rates confirmed and checked against payments after they take effect.
Contract anniversaries tracked so you can renegotiate at the right time.
Price
$500 per contract
Half upfront, half when the work is complete. How payment works
Practices that have been in network for at least a year with steady volume.
We agree on which payers to apply to, in which order, based on your patients and location.
One checklist for licenses, malpractice, board certification and work history.
We submit, then call and check portals until each payer decides.
We confirm effective dates and fee schedules so billing can start cleanly.
Insurance Contract Negotiation is available on its own, and it is also included in Provider Enrollment and Patient Acquisition Program and Precision Claim Management. See all packages on our pricing page.
Not always, but many will when you show something specific, such as access in an underserved area, extended hours or a specialty they lack.
A professional request does not by itself end a contract. We review termination terms first and never take steps you haven't approved.
Often two to six months, depending on the payer's review cycle.
Book a free 30-minute consultation. We'll review your practice and tell you where to start.