Resources
Guides for practice managers
Practical, research-backed guides on payer contracting and reimbursement — written for the people who run independent practices.
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Payer contracting
How a Practice Manager Can Request a Payer Contract Renegotiation
When and how to formally request a reimbursement renegotiation with a commercial payer — including the data to gather, a sample request letter, timing rules, and the legal guardrails.
10–12 min read
Payer negotiation guides
Negotiating with UnitedHealthcare: A Practice Manager's Guide
UnitedHealthcare publishes every negotiated rate it pays. How to benchmark your rates against UHC's own published data, frame the ask as a percent of Medicare, time it to your contract anniversary, and escalate when the first answer is no.
9–11 min read
Payer negotiation guides
Negotiating with BlueCross BlueShield of Tennessee: A Practice Manager's Guide
BlueCross BlueShield of Tennessee publishes its negotiated rates clinician by clinician, across several distinct networks. How to pull your roster's rates one clinician at a time, benchmark them against the published Tennessee market, and build the ask.
9–11 min read
Payer negotiation guides
Negotiating with Cigna: A Practice Manager's Guide
In Cigna's transparency files, not every published rate is a negotiated rate — standard fee-schedule values repeat identically across thousands of groups. How to benchmark against the real negotiated market, and treat "the standard schedule" as an anchor to test.
9–11 min read