Complete Payor Management

Save time on payor management while getting paid more and more often.

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Health systems have millions of dollars dedicated to managing their payor relationships – data sets, executive leadership, middle management, contracting teams – yet providers are priced out of having access to these resources and best practices.

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PayrHealth’s Complete Payor Management Solutions for Providers

Payor Relationship Management

Obtaining and renegotiating contracts on behalf of the practice to achieve competitive rates.

Hassle Free Credentialing

Commercial Insurance Provider Enrollment

Enterprise-Level Resources

Partnering with practices to provide them the same resources and data that the biggest players have access to.

Optimize Your Yield

Outsourcing accounts receivable and billing to a team of industry experts to free up time for in-office staff members.

Real-Time Reporting

Providing reports on reimbursement rates and claim acceptance rates to drive decision-making and contracting strategy.

Proactive collaboration

Proactive collaboration with our clients, driven by our team’s deep expertise, simplifies the complexities of the health care reimbursement landscape and reduces administrative burdens

Benefits of Complete Payor Management

Simply put, Complete Payor management with PayrHealth helps increase revenue by decreasing leakage and negotiating for the most competitive payor contracts. We know the leaders of independent providers are being asked to be CFOs as well as medical professionals, which is why PayrHealth takes on the role to help them focus on taking care of patients.

Payor Portfolio Management

With Payor Portfolio Management, we perform a data-driven review of your payor relationships, identifying areas of potential improvement based on current marketplace trends in their region. From there, our team of experts create a contracting strategy to proactively negotiate or renegotiate payor contracts to help providers get the best rates possible—the type of contracts large healthcare facilities are able to negotiate with their in-house teams of payor portfolio managers.

Revenue Cycle Management

Complete Payor management includes comprehensive Revenue Cycle Management. Driven by our robust data and world class team, we help independent providers manage billing and claim submission, accounts receivable, credentialing, and out-of-network profiling. This gives practices extra time to focus on patient care while our team handles the difficult and tedious tasks of managing billing and claim submission — All while making sure you get the reimbursement you deserve from competitive payor contracts.

PayrHealth works within many different industries:

  • Primary Care and Specialist Physicians
    - Solo practice
    - Group practice
    - Multi-specialty practice
  • Behavioral Health Providers
  • Hospitals
  • ASC's
  • Integrated Delivery Systems
  • MSO
  • ACO

When working with PayrHealth, you’ll get the following and more:

When you partner with PayrHealth, you get dedicated industry experts who will create a payor contracting strategy, secure and negotiate contracts on your behalf, and report on our progress through our portal and in regular reporting check-ins. Complete payor management is an ongoing relationship rather than a one-off project, which means we will continue to get to know your unique practice, industry, and market to help both you and us make the best decisions for your practice’s goals.

  • Onboarding will grant us the opportunity to meet your dedicated team and complete our preparation package
  • Strategy consists of jointly identifying customer goals to develop prioritized payer contract targets
  • Payor Coordination sets us up as an extension of your team to navigate the labyrinth of payer representatives
  • Process Reporting strengthens your payer portfolio to yield more patients and higher reimbursements
  • Growth and real-time status updates and bi-weekly meetings track progress and updates our strategy

Who is Eligible for Complete Payor Management?

PayrHealth is uniquely suited to provide help for small to medium independent healthcare providers across the United States. We partner with a diverse group, health systems to ancillary providers.

New practices also benefit from Complete Payor management, securing the best contracts from the start without ever having to worry about billing, claim submission, or credentialing. Whether you see 50 or 50.000 patients, we can be your partner for payor contracting and revenue cycle management.

Complete Payor Management gives you the same resources health systems have, including full-service Revenue Cycle Management and Payor Portfolio Management. With Complete Payor Management, we become a partner to practices, providing complete support to help them manage payor relationships and increase reimbursements


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    By the numbers with PayrHealth

    Our success is recognized across the healthcare industry. Hear from real organizations and healthcare providers of all sizes to learn how we made substantial changes to their practice revenue – and how specifically we can help you.

    About PayrHealth