Contract Negotiation Services
Out of Network Contract Negotiation Services
Out of Network Negotiation Technology
At Blss Medix, we help healthcare providers take control of their revenue by negotiating more favorable insurance contracts. The payer contracts you sign directly impact how much you get paid for every visit, procedure, and service you provide. Our experienced team works directly with commercial insurers, Medicare Advantage plans, and Medicaid MCOs to help you get the reimbursement rates you deserve.
Whether you're starting a new practice, expanding your panel, or renegotiating existing contracts, Blss Medix ensures you're not leaving money on the table.
Our out of network negotiation settlement team will utilize their expertise and OON database to negotiate on your underpaid claims with insurance companies and negotiation vendors i.e. Multiplan, Viant, Zelis etc. on your behalf.
We know their terminology and we know all the tricks of negotiating the best rates for our clients. Out-of-network billing is the trickiest aspect of billing, and we are well-known in this industry as the experts in the field.
We protect your patients by carefully analyzing historical data based on your locality and negotiate based on the analysis. BlssMedix ensures that we negotiate each claim, on your behalf, as well as your patients, so that they are not stuck with a massive out of-pocket expense.
We’ve been navigating these insurance companies and negotiation vendors for more than 10 years on pre-payment and post-payment negotiations which helped us to create our own OON database which we utilize to identify underpaid claims. We know that Insurance companies utilizes employer preferences and limitations in determining reimbursement on your medical claims but still our negotiation settlement team knows how to identify limited benefit policies and employer preferences which help us to negotiate your bills on maximum re-pricing.
Pre Payment Contract Negotiation Services
Settlement offers received from Negotiation vendors on behalf of Insurance companies prior to claim reimbursement.
Payer contracts are more than just paperwork—they’re legally binding agreements that dictate your financial future. Poorly negotiated contracts can result in:
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Below-market reimbursement rates
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Restrictive policies or authorizations
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Delayed or denied payments
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Revenue loss over time
With rising operational costs and tighter margins in healthcare, your contracts must be carefully reviewed and negotiated to reflect the true value of your services.
Post Payment Contract Negotiation Services
Claim is reimbursed by the Insurance Company based on pricing provided by the Negotiation/pricing vendor and claim is re-opened for Negotiation.
At the end, we advise you to use quality control procedures, structured billing processes, and appropriate out-of-network negotiation services to ensure error-free billing and maximum payments.
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📝 Data-Driven Proposals
We use benchmarking data to back up your value and justify better rates. -
💬 Industry Expertise
Our negotiators understand payer tactics and how to leverage your position. -
🔍 Transparency & Advocacy
We explain every clause, represent your interests, and push for the best possible outcome. -
🔗 Credentialing + Billing Integration
Seamless transition from contract to claim—start billing the moment you're approved.
Your contracts shouldn’t hold your business back. At Blss Medix, we take a proactive, results-focused approach to contract negotiation—ensuring your payer relationships are strong, profitable, and future-proof.
📞 Contact us today to schedule a consultation and see how we can strengthen your insurance contracts and boost your bottom line.
