We will facilitate your expansion needs with our team of contracting experts committed to constructing commercial, Medicare Advantage, and Medicaid networks customized for your needs.
We lead in various reimbursement methodologies, such as Fee-For-Service (FFS), DRG based pricing, and Value based programs, ensuring comprehensive coverage and quality care.
Contracting Services
Dedicated team of contracting experts
Expertise in commercial, Medicare Advantage and Medicaid networks
Network planning and development
Plan contract language and rate negotiation assistance
Practitioner, facility, and ancillary provider recruiting and contracting
Service area expansion
Credentialing Services
Have peace of mind that all our procedures align with the guidelines set forth by NCQA and CMS, saving you time while guaranteeing compliance.
With our comprehensive credentialing services, we can handle all the tasks and details with efficiency and compliance.
Contracting Services
Dedicated team of credentialing experts
Enlisting offices in delegated credentialing, pre-delegation/ongoing delegated reviews, managing the credentialing committee meetings and follow up communication
All processes are compliant with NCQA and CMS guidelines
Coverage
We are proficient in network adequacy check, review, and analysis for new plans, network expansion or ongoing needs. As your partner, we will ensure things run smoothly, submissions process successfully and exceptions are accepted.
Contracting Services
Dedicated team of adequacy analysis experts
Network adequacy, access, testing, gap analysis, and HSD preparation
Available for new plans, network expansion or ongoing needs
Ensure submissions process successfully and exceptions are accepted
GOING FAR AND WIDE FOR TAILORED NETWORKS
IN YOUR CORNER
Collaboration
With our team of problem solvers in your corner 24/7, we’ll be there to help knock out daily challenges and create strategies for future obstacles.
AHEAD OF THE CURVE
Expertise
Couple our experience with up-to-date industry knowledge to ensure that you are always one step ahead of the curve.
AT YOUR LEVEL
Customization
Customize the perfect plan for your clients, at your level, from a network of more than 30,000 providers.
IN YOUR CORNER
Collaboration
With our team of problem solvers in your corner 24/7, we’ll be there to help knock out daily challenges and create strategies for future obstacles.
AHEAD OF THE CURVE
Expertise
Couple our experience with up-to-date industry knowledge to ensure that you are always one step ahead of the curve.
AT YOUR LEVEL
Customization
Customize the perfect plan for your clients, at your level, from a network of more than 30,000 providers.