Maverick Health Innovations
(737) 231-4078Talk to a specialist

Services

Group Enrollment & Payer Contracting Services

Your group entity enrolled, every provider linked correctly, and payer contracts negotiated — not just signed as offered.

A group practice is a different animal to payers: the entity enrolls, each provider links to it, and one contract sets the rates everyone bills under. Get the linkage wrong and new providers’ claims deny for months; sign the first-offer contract and you lock in below-market rates for years.

We build the entity file once, enroll the group, link every provider correctly, and treat the contract as a negotiation — because for payers, it already is one.

What's included

  • Group entity setup: Type 2 NPI, tax and ownership documentation
  • Group applications with commercial and government payers
  • Provider linkage: every clinician reassigned to the group correctly
  • Contract review: rates, timely-filing limits, termination clauses
  • Rate negotiation backed by market and specialty data
  • Roster maintenance as providers join and leave

How it works

  1. Entity file built

    Type 2 NPI, W-9, ownership disclosures, and licenses assembled once, correctly — group applications die on entity paperwork.

  2. Group applications filed

    Submitted to your payer list with every provider's linkage included from the start.

  3. Contracts reviewed and negotiated

    We flag the clauses that cost money later and counter the first-offer fee schedule where your market position supports it.

  4. Roster kept current

    Joins, exits, and location changes filed as they happen, so the payer's records always match reality.

✦ Typical timeline: Group enrollment typically 90–150 days per payer; negotiation adds 2–6 weeks and is usually worth it for the life of the contract.

Pricing is quoted per practice — payers, providers, and states drive it — and your exact number goes in writing before you commit.How pricing works →

Common questions

Can you really negotiate rates with payers?
Not always, but far more often than providers assume — especially where the network has a gap you fill: specialty shortage, geography, language, or after-hours capacity. The first fee schedule is an offer, not a verdict. Worst case, you sign what was offered anyway; best case, the increase compounds for years.
We're two providers forming a group. Is group enrollment worth it?
Usually yes. Billing under a group TIN simplifies adding future providers, and a new clinician can often bill under the group while individual credentialing catches up — depending on payer rules we'll confirm for you.
Why are our new providers' claims denying under the group?
Almost always broken linkage — the provider was credentialed individually but never correctly reassigned to the group with that payer, which produces CO-109-family denials. Fixing linkage is enrollment work; that's us.
What should we watch in a payer contract besides rates?
Timely-filing limits, termination and amendment notice periods, retro-review clawback terms, and whether the fee schedule can change without consent. We flag all of it in plain English before you sign.

Talk it through with a specialist.

Free 20-minute consult — your payers, your timeline, and what it'll cost.

Talk to a specialistor call (737) 231-4078