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
Entity file built
Type 2 NPI, W-9, ownership disclosures, and licenses assembled once, correctly — group applications die on entity paperwork.
Group applications filed
Submitted to your payer list with every provider's linkage included from the start.
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.
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 →
Who this is for
Built for these practice types
The rules change by license type and by entity. These pages carry the specifics — what your payers verify, which applications actually apply to you, and how long it really takes.
Multi-Specialty Groups
One tax ID is one negotiation. It is also one fee schedule for everybody.
Learn more →Urgent Care Clinics
Medicare has no urgent care category. Your commercial contracts absolutely do.
Learn more →Surgery Centers (ASC)
An ASC is a supplier, not a provider. Everything downstream follows from that.
Learn more →Behavioral Health Facilities
Contracts are written per level of care. Deliver the wrong one and you're paid nothing.
Learn more →ABA & Autism Therapy
Only the LBA enrolls. Everyone else has to be rostered under one.
Learn more →Skilled Nursing
No accrediting organisation can certify you. The state survey is the only door.
Learn more →Common questions
Can you really negotiate rates with payers?
We're two providers forming a group. Is group enrollment worth it?
Why are our new providers' claims denying under the group?
What should we watch in a payer contract besides rates?
Talk it through with a specialist.
Free 20-minute consult — your payers, your timeline, and what it'll cost.