Know what you should be paid, then ask for it
We compare your payer contracts and actual payments with Medicare and market benchmarks, find underpayments, and prepare the rate request. You keep the payer relationship and the final decision.
Contract Review
We read each contract for rate schedules, timely filing and appeal windows, payment deadlines, escalators and termination terms.
Rate Benchmarking
We compare your rates for your highest-volume codes with Medicare and with what other payers pay you, and flag the outliers.
Underpayment Analysis
We compare what each payer paid with what the contract says it should pay, and list the claims that were short-paid.
Negotiation Preparation
We build the ask: the rate request, the supporting data and the case for it, written so you can send it or present it.
Negotiation Support
We prepare talking points, draft letters and review counteroffers with you. Rate outcomes depend on your market and your payer, and we do not promise a specific increase.
Renewal Calendar
We track notice dates and renewal windows so a contract never auto-renews at an old rate because a date was missed.
Collect contracts and fee schedules
You send current contracts, fee schedules and a recent remittance sample.
Benchmark and analyze
We compare rates, find underpayments and note the terms that cost you money.
Findings meeting
We walk you through the results and agree which payers to approach first.
Prepare and support negotiation
We prepare the request and support you through the back and forth.
Track results and renewals
We record the outcome and set reminders for the next renewal window.
- Practices whose contracts have not been reviewed in several years
- Groups with several payers paying well below the benchmark
- New or growing practices about to sign their first contracts
- Practices that suspect systematic underpayments
Related reading and services: Payer contract negotiation guide · Credentialing & Enrollment · Denial Management · Out-of-Network & NSA Dispute Support.
Want a second opinion on your payer contracts?
Send us one contract and a recent remittance. We will tell you what looks off and whether a full review is worth it.
Start With a Free Assessment →