Insurance Contracting

Welcome to our web page on Medical Insurance Contracting. We are experts in this field and are experienced and well-positioned to address any contracting and credentialing needs. Our services include in-network medical contracting, medical contract maintenance, and guidance on various types of contracts between medical insurance companies and providers.

Types of Contracts

Medical insurance companies offer various types of contracts to providers, such as fee-for-service contracts, capitation contracts, and bundled payment contracts. Each type of contract has its own advantages and disadvantages. Fee-for-service contracts pay providers for each service they provide, while capitation contracts pay a fixed amount per patient regardless of the services provided. Bundled payment contracts pay a fixed amount for services related to a specific medical condition.

Challenges Faced by Providers in Obtaining Medical Insurance Contracts

Obtaining a medical insurance contract can be challenging for providers. Insurance companies often have strict requirements for provider participation, such as board certification, malpractice insurance, and a minimum number of patients. Insurance companies may also have limited networks, making it difficult for providers to find in-network opportunities.

The No Surprise Act and Its Impact on Medical and Dental Providers and Practices

The No Surprise Act, also known as the Consolidated Appropriations Act 2021, is a federal law that protects patients from surprise medical bills. This law prohibits providers from charging patients more than the in-network cost-sharing amount for out-of-network emergency services, air ambulance services, and non-emergency services provided at an in-network facility by an out-of-network provider without the patient’s informed consent.

The No Surprise Act will significantly impact medical and dental providers and practices. Providers must ensure their billing practices comply with the law to avoid penalties and litigation. Providers will also need to communicate effectively with their patients to ensure that they understand their insurance coverage and avoid unexpected bills.

At Triton Medical Solutions, we are experts in medical insurance contracting and credentialing. We understand the challenges providers face in obtaining contracts and maintaining compliance with laws and regulations. Contact us today to learn how we can help you with your contracting and credentialing needs.

Welcome to our web page dedicated to Medical Insurance Contracting. We are experts in this field and are experienced and well positioned to address any contracting and credentialing needs that you may have.

Our services include in-network medical contracting and medical contract maintenance, as well as Medicare DME Insurance Contracting, Medicare Part B Insurance Contracting, and Commercial Insurance Contracting.

Medicare DME Insurance Contracting

We can help you complete, submit, and follow up on all necessary applications and documentation required to obtain a provider DMEPOS contract with Medicare. Our services also include assistance with EFT setup and application fees to Medicare.

Medicare Part B Insurance Contracting

We can assist you in completing, submitting, and following up on all necessary applications and documentation required to obtain a provider Part B contract with Medicare. Our services also include assistance with EFT setup.

Commercial Insurance Contracting

We can guide you through the paperwork required for obtaining commercial medical insurance contracts. Additionally, we can help negotiate contract fees on your behalf.

We understand the importance of being an in-network provider with medical insurance and dental insurance. As an in-network provider, you will have access to a wider patient base and have the opportunity to offer your services to a larger population. Additionally, you will benefit from increased patient referrals and streamlined claims processing.

The “No surprise act of 2022” is a new law that will protect patients from surprise medical bills. This law will affect medical and dental providers and practices, and we are well-equipped to navigate the changes brought about by this act.

At our company, we pride ourselves on our expertise in medical insurance contracting and credentialing. We are dedicated to helping you navigate the complex world of medical insurance, and we look forward to working with you.

TRITON MEDICAL SOLUTIONS

Physical Address: Kyrene Corporate Center | 9280 South Kyrene Road | Suite 112 | Tempe AZ 85284-2954
Mailing Address: PO Box 13606 | Tempe AZ 85284-0061
Phone: (602) 457-7320 | Fax: (866) 467-4430