Increased Avg. Monthly Payments by 12% in Q1 YoY

PayrHealth’s goals for the client were to increase their cash flow, evaluate payor contracts and identify new networks for participation. The payor contracting team was able to successfully maintain the client’s in-network status with UHC and BCBS of Nebraska with marginal negative impact to rates, after the client received a termination letter due to payor network narrowing. PayrHealth successfully reinstated the client’s PTAN with Medicare in an expedited timeframe to avoid any lag in the client’s claim reimbursement. PayrHealth also re-credentialed various locations that had fallen non-compliant, which salvaged the client’s in-network status with Tricare, BCBS, and WellCare. The team has also executed new contracts with Medica and Molina and renegotiated an existing contract with Full-Service Healthcare Provider agreement.