We Manage Healthcare Provider Networks and Practices
From recruiting the right clinicians to getting every claim paid, we run the operational side of your practice so your providers can focus on patient care.
- Provider Recruiting
- Insurance Billing
- Claim Optimization
- Insurance Credentialing
- Scheduling
- EHR Software
- Service Management
About Us
Built To Run The Business Behind The Practice
Provider Network Management was founded in 2021 to fix the part of healthcare nobody wants to own. Credentialing packets that stall for months. Claims that get denied for reasons no one catches until the revenue is gone. Provider rosters kept in spreadsheets that were out of date the day they were built.
Since then we have supported more than 850 healthcare providers across telehealth groups, private practices, and multi state provider networks. We handle recruiting, credentialing, insurance billing, claim optimization, scheduling, EHR software, and day to day service management, so the clinical team can stay clinical.
Our EHR and RCM partnerships are what make that possible. Instead of forcing your practice onto one rigid platform, we work inside the systems the industry already runs on, and we have built the connective tissue between them.
- Credentialing you can actually see. Every payer application is tracked by provider, status, and follow up date, so nothing sits in a queue waiting on a phone call that never happened.
- Claim workflows built to catch money early. We monitor billing at the claim level, flag the denial patterns that repeat, and fix the root cause instead of reworking the same rejection every month.
- Deep EHR and RCM integration. Strong software relationships let us work inside your existing stack and move data between systems without manual re entry.
- Process where there usually is none. The work most organizations treat as tedious administrative overhead is the work we have spent years systemizing.
Everything Needed To Bring Opportunities To Your Providers
One connected operation behind your practice, from the software your providers work in to the patients who fill their schedule.
Since 2021
Our PLLC Clients
The Provider Groups We Manage
We staff your providers through one of our contracted, physician owned PLLC entities. Each entity holds compact state licensure, so coverage reaches well beyond its namesake state while the credentialing, billing, scheduling, and day to day operations stay with us.
Also Licensed In
Also Licensed In
Provider Onboarding
The Path From Interview To Patient Schedule
Every provider we bring into the network moves through the same managed sequence. We handle the paperwork, the software, and the payer requirements so a clinician can go from first call to a full schedule without chasing the details.
Screening Call
A recruiter reviews licensure, specialty, state coverage, and availability to confirm the provider fits the network and the patient demand we are staffing for.
Contract
The provider is contracted with one of our physician owned PLLC entities. Terms, scope, and state coverage are set in writing before anything else begins.
EHR Software Setup
We build the provider's CareSync account, credentials, and prescribing access so the clinical workspace is ready before the first patient is assigned.
Insurance COI
We email the provider a certificate of insurance that includes tail coverage, then verify and file it against the entity's policy so malpractice protection is documented and current before the first patient encounter.
EHR Training Meeting
A live session walks the provider through charting, encounters, prescribing, and support workflows so the platform is second nature at go live.
Scheduling
Availability is loaded, patient volume is routed to the provider, and our team manages the calendar and coverage from that point forward.
Healthcare Provider Portal
Medical Benefit Verification
