The CodeToolz Payer Contracting Team

We are continually honing our strategic and technical skills to successfully usher clients through reimbursement strategies and price negotiations.

The primary mission of CodeToolz is to help medical providers increase their revenue. It’s as simple as that. We are committed to making today’s era of reimbursement work for you.

Our ability to understand the issues that are important to both providers and payers affords us insight into the market dynamics impacting provider reimbursement and the technical skills needed to manage and optimize payer revenue streams.

With the current economy, insurance companies are tightening up, so it is very important that you utilize experts who are well versed in payer contracting strategies. We have the personnel and tools necessary to provide you with quantifiable results that directly impact your bottom line.

Payer Contract Analysis and Negotiations

Because payer contract management and analysis  is a tedious process that requires many-many steps and then multiple follow-up steps; our experts in the field take it on for you. They know how to engage with payers who are often more open to mutually beneficial reimbursement negotiations than you might imagine.

Undertake all your payer contract analysis and negotiations with professionals who’ve worked on both sides of these conversations for decades. Our process has been proven to ensure your practice is able to maximize revenue for years to come.

Meet the Team

Dana R. Bellefountaine Jr.

With a close to four (4) decade progressive career, Dana possesses extensive experience in physician services, the evaluation of managed care contracting opportunities, strategic planning, negotiations, contract review, and analysis/modeling of contracts. He oversees and assists with the education of staff to ensure the capture of revenue as modeled and understands required procedures and policies of the health plan.

Dana provides strategic leadership as well as financial and administrative oversight of contract management, including negotiation, rate analysis and subsequent maintenance, in effort to ensure a strong portfolio of payer relationships and maximized related revenue.

Kathrin Pereira

Director
Development and Support
CodeToolz Contract Analyzer

Microsoft Office and VBA Expert

Mrs. Pereira is responsible for the development and support of the CodeToolz Contract Analyzer. She has an extensive background in automation and development of multiple different tools and constantly works on improvements to give you the best possible user experience.

She is responsible for all Contract Analyzer lifecycle phases, from specifications and coding through deployment, testing, debugging, documentation, and maintenance. She is an expert in creating VBA programs to automatically update Excel workbooks, encompassing class and program modules and external data queries.

Dr. Himadri Patel

Director
Development and Support
Payer Contract Center(PCC)
Member Resource Center(MRC)

BSc, MCA, PhD

Dr. Himadri Patel is an expert in website development and maintenance, having over 10 years of experience working on hundreds of small and large websites. She is also an AWS-certified Machine Learning and Artificial Intelligence specialist. She holds a PhD degree in the field of Computer Science and the domain of Natural Language Processing.

Dr. Patel is responsible for the development and support of the CodeToolz Payer Contract Center (PCC) and Member Resource Center (MRC). She continuously works on improvements to provide our clients the best possible user experience.

Trey Ligon

Director of Payer Negotiations

Trey Ligon is the CEO/President of Medical Practice Solutions, Inc. He is a highly accomplished healthcare business executive with an extensive 30-year track record in spearheading provider contracting efforts for diverse healthcare organizations, including medical practices, IPAs, ACOs, and hospitals.

With a deep understanding and comprehensive expertise in all facets of medical contract operations, Mr. Ligon is a results-oriented professional who brings a wealth of knowledge and experience to the table. As a forward-thinking leader, he has a proven ability to drive healthcare transformation and consistently deliver best-in-class contracting analysis and negotiation strategies.

Teresa "Tary" Sullivan

Director of Customer Experience

Tary is an accomplished executive with 20 years of diverse work experience in patient care, marketing, physician relations, practice management and business development. Tary’s expertise lies in breaking down barriers, improving processes and most importantly, interpreting the needs and desires of our clients. Tary has a track record that demonstrates self-motivation, creativity, and high learning agility to achieve operational objectives.

Tary has a unique ability to successfully communicate across a wide spectrum of audiences, leading change initiatives, having strong financial and organizational skills and being able to function effectively with multiple priorities.