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 Contracting, Credentialing and Negotiations Alliance

Because payer contracting 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.

The CodeToolz Alliance has the expertise to undertake all your payer contracting, credentialing 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 Alliance Members

The CodeToolz Contract Analyzer is designed to track and manage your payer contracts, analyze fee schedules, manage options for payer negotiations and increase the bottom line.

Dana R. Bellefountaine Jr.

Payer Reimbursement Strategies

Our roots in payer contracting run deep, making CodeToolz one of the most effective payer contracting and reimbursement firms in the country.

While working with healthcare groups across the country, we have seen payers reduce their fee schedules by 5% to 12% due to lack of attention, this is devastating to your practice.

Fortunately, longstanding patterns of poor attention to contracts can be broken by managing, analyzing, renegotiating and monitoring your payer contracts. We believe in a proactive approach, not a reactive one.

Let the experts at CodeToolz take your contracting efforts from burden to competitive advantage. The bottom line is that in managed care contracting, knowledge is power and planning is essential.

Healthcare Payer Contract Negotiations

PayrAdvisors is a national managed care consulting firm focused on helping provider groups, health systems and payers navigate the challenges of managed care contracting.

Managed Care Contract Negotiations

We work with all sizes of groups from 1-2 physician practices to multi-billion-dollar health systems. Our experts are well versed in contracting in all 50 states, in every specialty, with over 5,000 payer contacts to help guide the contracting process in the right direction.

Rising costs in the days of declining reimbursement drives for a significant need of attention to payer contract language, rate performance and claims data so your practice is not leaving money on the table.

From contract negotiations to wholescale complex managed care solutions, we have assembled a team of ex-payer and provider group executives to help navigate the complex ecosystem of managed care contracting.

We will work with you to design a strategy and align on goals to ensure optimal performance of your payer contracts and support growth initiatives that your business may have.

Nationwide MSO & Credentialing Services Company

Our services have been designed to provide the best possible care in a budget friendly package.  Our primary areas of expertise are provider credentialing & enrollment maintenance, practice start-up services, website design/deployment/practice marketing, compliance training and insurance contract negotiations.

Nationwide MSO & Credentialing Services Company

Physician Practice Specialists was founded in 2007 providing specialized healthcare services to clients nationwide.

With offices in Florida, Tennessee and California and specialized practice consultants throughout the country, we provide services to over 2500 providers on a monthly basis.

Our clients include solo provider start-ups, large group practices, hospitals, prestigious universities and everything in between. 

With our background and proven track record, you’re probably thinking that our services could never fit within your budget, this is where you’d be pleasantly surprised.

Our team is ready to utilize their experience and payer relationships to efficiently credential your organization and providers. We have packages for every organization regardless of size or scope.

A+ rated by the BBB and the only nationwide consulting and credentialing company to achieve this rating.