What We Do
NIHC is an independent network of doctors offering its Participating Providers valuable access to key HMOs, PPOs, employers, and workers' compensation entities. We are the Providers' advocates as we negotiate for increased reimbursement and delegated credentialing.
Once you join, we forward you Opt-in/Opt-out Plan Summary Sheets for each contract that delineates reimbursement and other key pieces of information. You choose which plans you want to participate in and we add you to just those plans. |
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NIHC provides RATES, ACCESS and SIMPLIFICATION:
RATES:
Who is negotiating your managed care contracts now? How successful are they and how much does it cost? NIHC is a large group of providers and can leverage better rates than individuals or small groups. How much would your profit increase if you were getting paid 5% or 10% more for each patient you care for? Compare our Plan Summary Sheet reimbursements to your individual contract reimbursement and see what gains may be available.
ACCESS:
Practices have found it increasingly difficult to gain access to some key contracts. Several major health plans have essentially stopped contracting individual providers and will only add large groups like NIHC.
SIMPLIFICATION:
NIHC pursues delegated credentialing whereby we credential you once; rather than you being required to complete credentialing applications for each plan. When you are approved by NIHC's Credentialing Committee you are approved for all Direct Contracts with Delegated Credentialing Authority.
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