Provider Education & Advocacy

At Provider1st, our purpose is to provide secure, accurate, and efficient Release of Information services that support the operational needs of healthcare providers and the privacy rights of patients.

Free Provider Consulting

Driving Provider Awareness  

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Stay Informed & Empowered

Unfair payment & contract practices from the payor  

Healthcare providers often face unfair practices from payors that can impact their revenue and operational stability. Understanding these practices is crucial to protect your interests and ensure fair compensation.

Learn how to fight back when an insurer denies your healthcare claim

Get advice from experts on Value Based Care contracting

Learn common payor practices on underpayment to Physicians  

Help cherry picking providers to exclude “high cost” providers

Consider Security & Privacy

Protecting provider data

In today’s digital landscape, protecting your practice's data is more important than ever. We offer assessments and solutions to ensure your data remains secure and your practice compliant.

Block Patient Recording Sharing from your EMR provider and protect your data

Address uneven bargain power with payors when contracting  

Learn about Bias Provider Directories which prevent new patients for provider

Build Trust & Transparency

Lack of payor transparency

Navigating the opaque world of payor policies can be challenging. We help you build a clearer understanding of payor operations and ensure transparency in your interactions.

Nearly 15 percent of all claims submitted to private payers for reimbursement are initially denied, including many that were pre-approved to move forward through the prior authorization process.

Denied claims tended to be more prevalent for higher-cost treatments, with the average denial pegged to charges of $14,000 and up.

Over half (54.3%) of denials by private payers were ultimately overturned and the claims paid, but only after multiple, costly rounds of provider appeals.

The average cost incurred by providers fighting denials is $43.84 per claim – meaning that providers spend $19.7 billion a year just to adjudicate with payers.

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