Payor contracting for physician groups that want to be paid what the market pays
PayrHealth negotiates payor contracts and credentials providers for independent physician groups, medical groups and physician practices: single-specialty and multi-specialty, from one location to many. Every contract is modeled against the best-paid quarter of practices like yours, for the same codes, in your market, and new hires are enrolled before their first claim. In all 50 states, since 1994.
Founded in 1994 as Healthcents, PayrHealth since 2021. Contracting, credentialing and revenue cycle for practices under one roof.
What we do for physician groups
The payor work a practice administrator never has time for, done by a dedicated team: contracts negotiated from data, providers enrolled on time, payor problems worked to resolution.
Groups that want the whole job done usually run this as complete payor management; payor contracting and credentialing are also available on their own.
See if you qualify for a free rate review and we will show you where your contracts sit against the best-paid quarter of practices like yours.
How a physician group engagement works
Your first year with PayrHealth, from contract inventory to a negotiation plan that renews every year, with progress in your portal and scheduled reviews with your administrator.
Onboarding
Month 1Contracts, fee schedules, your top billed codes and payor contacts collected through paperless intake, and your dedicated team meets yours.
Strategy
Months 1–2Every contract modeled against the best-paid quarter of practices like yours, targets ranked by the payor's share of your revenue and the size of the gap.
Negotiation and enrollment
Months 2–8Priority contracts renegotiated and new agreements pursued, while new providers and locations are enrolled in parallel.
Growth
Month 8 onwardNew rates loaded and verified on the payor's side, next-tier payors opened, and new services and locations added to the plan.
Reporting and follow-up
ThroughoutUnderpayments and payor issues worked as they arise, with every contract, rate and application in your portal and regular reviews with your team.
A typical first year. Payors set their own pace on each contract; see the FAQ for what to expect.
Physician group results
in annualized revenue increases from a 10.8% weighted rate increase across major payors, plus coverage for previously excluded procedures
reimbursement increase on renegotiated contracts and 10 new contracts for a growing urology group during a multi-practice acquisition
negotiated directly with payors in eight weeks, at rates close to the IPA rates being lost, with no disruption to patient care
Services for physician groups
Take one service or run them together. Groups that want the whole job done usually choose complete payor management.
Payor contracting
Renegotiations and new network access, negotiated from market data
Credentialing
New hires, new locations and recredentialing, kept current
Complete payor management
Contracting, credentialing and revenue cycle, including denials and complex claims, by one team on one fee
Revenue cycle management
Billing, denials and patient balances, with every remittance checked against the contract
What clients say
“They use rigorous data analysis as the basis for developing a solid negotiating approach.”
Leland Tong, MD · Google review
“We highly recommend their services to any healthcare provider looking to optimize their revenue.”
Dr. Rajesh Gupta, Medical Director, AFC of Yorktown
“They will take the time to help you figure out what you need and then work with you to achieve it.”
David Siegel · Google review
“They are very easy to work with and incredibly responsive when we have questions.”
Brandi Garlutzo · Google review
Physician group contracting questions
Which specialties do you work with?
Recent clients include urology, ophthalmology and retina, orthopedics, dermatology, primary care, behavioral health, fertility, urgent care and therapy practices. The benchmark is always practices like yours, for the same codes, in your market.
We are a small practice. Is this for us?
Usually, yes. The free rate review tells you whether your contracts could pay more before you commit to anything, and engagements are scoped to the contracts that matter, not every payor in the book.
How do you know what our contracts could pay?
Each contract is modeled against the best-paid quarter of practices like yours, for the same codes, in your market. That sets the target; how far a renegotiation gets depends on your negotiating position with each payor.
Can you get us into a closed network?
Often. Closed-network requests are made with a written value case for your practice, reconsiderations and escalation to network leadership. It does not work every time, and we tell you up front where the odds are poor.
Do you credential our new hires?
Yes. New physicians and advanced practice providers are enrolled with commercial payors, Medicare and Medicaid before their first claim, and CAQH, recredentialing and revalidations are tracked for the whole group.
We are adding a location or a service line. Can you handle that?
Yes. New locations are enrolled and added to existing agreements, and new service lines are priced into the contracts before you start billing them.
How long does a renegotiation take?
New rates typically take effect 8 to 12 months after kickoff, depending on the payor and the contract's renewal terms. Credentialing and enrollment move faster, and the annual calendar starts the next renegotiation early enough to avoid a lapse.
How is the work priced?
It depends on scope. Fixed and monthly fees, performance fees and value-share arrangements are all available, and your proposal states exactly which applies.
How do I get started?
See if you qualify for a free rate review using the form below. If you qualify, we show you where your contracts sit against your market and come back with a plan and a quote.
See if you qualify for a free rate review
Tell us about your practice, your specialty and your top payors. If you qualify, we show you where your contracts sit against the best-paid quarter of practices like yours, for the same codes, in your market, and come back with a plan and a quote. No obligation.
After you submit, practices that qualify pick a time with our team on the next screen.
