Managed Care Contracting and Payer Relations

As a new client of Instream's comprehensive billing services, one of the first steps we'll take is to review your current third party participation status and terms. We then engage with your practice to help develop a managed care contracting and network participation strategy unique for your practice and your situation. Your strategy is used to guide our work in support of your practice's goals. Working under your direction and collaborating with legal counsel as necessary, Instream helps plot a course to a competitive market position.

Elements of Managed Care Contracting and Payer Relations:

• Group vs. Individual Participation
• Reviewing all third party contracts on behalf of your practice
• Critical review of contract language
• Use of the Instream Anesthesia Reimbursement Survey to clarify payment provisions
• Use of a Compensation Addendum to pinpoint reimbursement terms
• Contract compliance and payment monitoring services
• Instream employee education and communication for posting and follow-up activities
• Claims resolution and intervention services

How do we know we can chart your strategy?

We are currently administering over 135 contracts on behalf of Instream's clients.

Return to Top