Insurance Contract Negotiation Services

Ask and You shall Receive:
Your suspicions were correct!

Most Payers will offer you bottom of the barrel prices for services. Neolytix can help you negotiate a better contract.

Get Optimal Reimbursements with Neolytix Contract Negotiation Services

Neolytix specializes in providing comprehensive healthcare payor contract negotiations to medical providers.

Our goal is to help your healthcare organization optimize reimbursement rates and navigate the complex landscape of insurance contracts so that you get the reimbursement rates you deserve.

We offer services to many health insurance companies, like UnitedHealthcare, Anthem, Blue Cross Blue Shield, Aetna, Cigna, Humana, etc.

Get Optimal Reimbursements with Neolytix Contract Negotiation Services

Contract Management Services

How does it work?

We will closely work with your healthcare organization to create attractive value propositions for each insurance plan. Our experts highlight your unique capabilities, cost-effectiveness, and quality of care, effectively positioning your practice for favorable negotiations. Here is an outline of what you can expect going forward:

Preparation

1. Consultation and Proposal

We start with a conversation to discuss the status of a medical provider’s contracts to grasp your needs fully. After deliberation, we submit a proposal outlining the process, fees, and plans with timelines going forward.

2. Client's Information Submission

If you are interested in our services, we will provide you with a list of data and information. This will help you analyze your rates and create a strong proposal.

3. Evaluation of Payer Reimbursements

We compare your organization's rates for each CPT code with Medicare's rates to understand your financial performance in detail.

Preparation
The Process

The Process

1. Value Proposition Presented to Plans

A detailed offer is made, showing the practice's special abilities and the potential savings for health plans.

2. Negotiations with Plans

The value proposition is submitted to each plan, and the negotiation process begins. We always push for higher rates, providing strong evidence and refusing to accept a negative response.

3. Enhanced Rates for Your Practice

Neolytix remains dedicated to securing higher rates for our clients despite prolonged delays and obstacles. We tenaciously pursue negotiations until your practice attains the deserved rate increase.

Fee Schedule For Payer Contract Negotiations

Neolytix provides healthcare providers with the option to choose a fee structure that best suits their needs. Below you can see the difference between Fixed and Incentive-Based fee structures.

Fixed Fee Structure

  • Our upfront fee includes all the work and time required for our services.
  • There are no extra fees for more time on calls and emails, no matter how long the negotiations last. The negotiations can sometimes last for months.
  • We determine the fee based on factors such as the specialty, practice size, and the number of plans to be negotiated.

Incentive-Based Fee Structure

  • We incorporate a bonus system that correlates with the percentage increases we achieve for each health plan.
  • This incentivizes us to strive for higher rate increases, which can significantly enhance the financial performance of your practice.

Transform Your Reimbursement Rates

Contact us now and let’s collaborate on transforming your monthly revenue to truly reflect the high-quality care you provide.

Why Choose Neolytix?

Neolytix has a top revenue management program to help you get the most value from the care you offer.
Our team comprises seasoned professionals with in-depth knowledge of negotiating payer contracts.
11+ Years Experience

Neolytix has been fighting to get medical providers the best reimbursement rates for over 11 years.

100% Tailored Approach

Our solutions are designed to align with your practice’s objectives, ensuring maximum financial success.

50+ States Served
If you have a practice in one state or an organization spread across many, Neolytix serves medical providers nationwide.
10+ Insurers 

UnitedHealth Group, Anthem, Aetna, Cigna, Humana, etc. We have negotiated with all the major players in the US.

2 Fee Options
Neolytix provides you with the opportunity to select the payment option that best suits your goals.

Frequently Asked Questions (FAQ’s)

Here are the most frequently asked questions and answers regarding healthcare payer contract negotiations.

These services provide valuable expertise and industry insights to help medical providers optimize reimbursement rates, navigate complex contract terms and conditions, and secure favorable agreements with insurance plans. By leveraging their specialized knowledge and negotiation skills, these services can significantly enhance financial performance and increase revenue.

The fees for insurance contract negotiation services are typically determined based on several factors, including the specialty of your medical practice, the size of your practice, and the number of insurance plans that need to be negotiated. These factors are carefully evaluated to create a fair and customized fee structure that aligns with your specific needs and requirements.

The time it takes to negotiate can change based on factors like contract complexity, insurance plan responsiveness, and medical practice goals. Neolytix’s insurance contract negotiation services work quickly to achieve the best outcomes within a reasonable timeframe, regardless of the negotiation timeline.

Absolutely. Our contract negotiation expert work closely with healthcare providers throughout the entire negotiation process. They collaborate with you to understand your healthcare organization’s unique needs, objectives, and contractual preferences. Your input and insights are valued, and you will be kept informed and involved at every step to ensure the negotiation strategy aligns with your healthcare organization’s goals.

Yes, our experts have experience in handling negotiations with multiple insurance plans concurrently. They have the knowledge and tools to communicate with various insurance companies. They understand each plan’s specific requirements, payment rates, and contract terms. These services ensure comprehensive coverage and maximize your practice’s financial potential by managing negotiations with multiple plans.

While success cannot be guaranteed in every negotiation, reputable payer contract negotiation companies like Neolytix, are dedicated to advocating for your practice’s best interest. If discussions fail, we’ll try other ways to improve the contract and payment terms, like appealing or re-negotiating. The goal is to continue working diligently to achieve the most favorable outcomes for your medical organization.

Absolutely, our services extend their support beyond initial negotiations. They manage and oversee your payment agreements, ensuring they remain competitive and aligned with your practice’s financial objectives. This includes monitoring fee schedules, assessing reimbursement rates, and periodically renegotiating terms. By maintaining an up-to-date and advantageous payer contract, these services play a vital role in sustaining your practice’s financial health and maximizing revenue potential. 

TESTIMONIALS

Listen to what our clients
have to say

Sarah Charmchi
Sarah Charmchi
2023-06-13
I chose Neolytix for credentialing our practice. The team was knowledgeable, responsive and kind and supported us through the process. I would certainly recommend their services.
Sue Robbins
Sue Robbins
2022-07-23
Neolytix has helped so much with our outstanding A/R. They are always so very willing to help and complete the task in a timely manner.
Toby
Toby
2022-07-18
We transitioned to Neolytix a while back, having come from a billing company we were less than thrilled about. The people here have been very responsive to our needs and requests, and adapt quickly to whatever curve balls our practice throws them. They bring a wealth of knowledge to the table, and take the attitude that our success is their success.
Sandy M
Sandy M
2022-07-15
I was a new office manager for a private practice when I hired Neolytix for credentialing assistance. Eden has been very thorough and helpful every step of the way. insurance credentialing can be so overwhelming at times, that having this task off my plate has given me a peace of mind. I know she is handling everything. Always quick to respond to questions or concerns.
Cheryl Lambert
Cheryl Lambert
2022-07-10
Neolytix is the most professional and hard working billing company I have ever been partners with . I call them a partner because they truly are. Neolytix makes sure what they bill is accurate. Their knowledge of physician billing is outstanding. The entire team takes control and does what is necessary to make sure you get paid.
Priti Patel
Priti Patel
2022-07-09
I habe hired a virtual assistant through Neolytix and she is amazing. The team has trained her well so I didn't have to deal with that aspect so I can focus on running my clinic. She is fast and responsive to clinic tasks. Patients have said positive things about her as well.The team at Neolytix did well...I just wish I would have signed up sooner 😅

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