Payer Rate Negotiation

Synergy provides payer rate negotiation for medical practices. If your practice wants help negotiating reimbursement terms, we work with you to define the payers, priorities and responsibilities involved.

Start with the agreement you want to discuss

• Payer reimbursement rate negotiation support
• A defined scope based on the payer relationships and rates your practice wants to address
• Coordination with your practice on proposed terms and next steps

What to bring to the first discussion

Tell us which payer agreements you want to address, what you want to change and whether a renewal or other deadline is approaching. We will discuss what information is needed and agree on the work before starting.

How decisions stay with your practice

We agree on negotiation priorities and how proposed terms will be reviewed. Your practice approves any agreement it chooses to accept. Rate changes, payer acceptance and timelines depend on the payer and the engagement; no increase is guaranteed.

Rate negotiation and enrollment serve different needs

Credentialing and payer enrollment address provider participation. Rate negotiation addresses reimbursement terms. If you need both, we will define each responsibility in your proposal.

Service scope and fees are confirmed before work begins. See billing pricing and inclusions for the separate billing arrangements.

Scope and pricing

We confirm the work, responsibilities and fees in your proposal. A billing percentage does not automatically include this service, and billing trial or money-back promotions do not automatically apply.

See how practice-support services are priced or request a quote for your needs.