Insurance Negotiation Services Pricing

Contract Negotiation

Most Practices aren't getting that rates that they deserve. NGA Healthcare has a success rate of 100% in negotiating contracts; we have been able to negotiate at least one major contract for each of our clients. The result is an increase in reimbursement that quickly covers the cost of our services.

Initial Fee

Our initiation fee covers all work and time for our services. Even if negotiation takes months, dozens of calls, and hundreds of emails, we never charge for additional hours. The fee is dependent on the specialty, size of the practice, and the number of plans to be negotiated.

Performance Bonuses

We build in a bonus structure based on the percentage increases we are able to obtain per health plan. We are incentivized to get a higher increase that will greatly increase the bottom line for your practice.

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Credentialing Pricing

NGA Healthcare provides unmatched and expert credentialing and credentialing maintenance services including initial credentialing, re-credentialing, Medicare, Medicaid, and assistance with provider disputes related to credentialing. NGA Healthcare ensures provider paperwork is submitted on time, documented, and obtain proof of all effective dates.

All follow-up, documentation, and effect date confirmations are included in the costs below, so there is are no hidden costs for doing what it takes to ensure your providers are credentialed. Our credentialing service more than pays for itself in practice man-hours and avoids lost income.

Maintenance

Includes audit of all providers to ensure they are contracted and credentialed with all current plans of the practice

If provider is not contracted, provider is added at no additional charge.

Includes initial audit of provider CAQH file, completion of CAQH file and maintenance of CAQH file.

Access to our proprietary credentialing status tool showing up to date in-network payer status

Tracking of provider documents and their expirations including medical license, liability insurance and DEAs.

Includes completion of all Medicare Advantage quarterly attestants.

Includes deletion of providers who have left the practice.

Previously Credentialed Providers

Including all payers requested by client and associated address locations.

Includes Medicare and Medicaid registration updating.

Client is provided with access to online portal that tracks progress of credentialing/contracting process.

Client is provided with written “Effective Date" confirmation from each payer when applicable.

Includes assistance with provider disputes due to loading/credentialing errors by the payers.

Does not include hospital credentialing.

Hospital credentialing provided at additional $500 per hospital affiliation.

Non-Credentialed Providers

Includes assisting provider with obtaining License, DEA and registration with Medicaid.

Including all payers requested by client and associated address locations.

Includes Medicare.

Includes review and completion of CAQH and NPPES.

Client is provided with access to online portal that tracks progress of credentialing/contracting process.

Client is provided with written “Effective Date" confirmation from each payer when applicable.

Includes assistance with provider disputes due to loading/credentialing errors by the payers.

Does not include hospital credentialing

Hospital credentialing provided at an additional $500 per hospital affiliation