Bridge insurance billing alternative: launch fast, then own your payer contracts
What are the best alternatives to Bridge for telehealth insurance billing?
Anvil is a Bridge alternative for virtual care companies that want to own their payer contracts. Anvil launches your clinicians in-network on a credentialed 50-state professional corporation, then forms your own PC in parallel and moves volume to payer contracts in your entity's name. On Anvil, the payer contracts end up with you.
Updated November 1, 2026
Anvil publishes the model next to Bridge (usebridge.com): you launch on a rented PC, then migrate to contracts in your name.
Bridge vs owning your own payer contracts: which is better?
Bridge's homepage describes a 50-state PC and launch in as little as 30 days. It does not say who holds the payer contracts. Owning means the contracts sit in your own PC and stay with you if you switch vendors. Anvil launches on our PC, then migrates volume payer by payer to contracts in your entity's name.
Bridge launches you on its PC. Anvil moves you to your own.
Bridge's homepage describes a 50-state PC model. Anvil also launches you on our PC, then moves volume to payer contracts your own entity holds. Rent, then own.
| Anvil | Bridge | |
|---|---|---|
| Launch time | Weeks, by roster-add on our PC | As little as 30 days, on Bridge's homepage |
| Professional corporation | Our PC to launch, then your own PC | 50-state PC, on Bridge's homepage |
| Who holds the payer contracts | Moves to your entity | Not published |
| Pricing | Platform fee on collections during rental, fixed PC fees | Not published |
| Eligibility | Real-time insurance eligibility API at booking | Real-time eligibility and out-of-pocket estimates, on Bridge's homepage |
| SOC 2 | Type II in progress. HIPAA in place. | SOC 2 certified, on Bridge's homepage |
| Claims risk | Anvil carries it during rental | No financial risk for claims and denials, on Bridge's homepage |
| Specialties | Behavioral health payer contracting is published | 50+ specialties on Bridge's homepage. A full list is not published |
| If you leave | Contracts are in your entity, so they stay with you | Not published |
| Reimbursement rates | Parite ranges by state and CPT code | Not published |
| MSO-PC and CPOM | MSO plus your own PC, papered for state CPOM | Not published |
Launch time
- AnvilWeeks, by roster-add on our PC
- BridgeAs little as 30 days, on Bridge's homepage
Professional corporation
- AnvilOur PC to launch, then your own PC
- Bridge50-state PC, on Bridge's homepage
Who holds the payer contracts
- AnvilMoves to your entity
- BridgeNot published
Pricing
- AnvilPlatform fee on collections during rental, fixed PC fees
- BridgeNot published
Eligibility
- AnvilReal-time insurance eligibility API at booking
- BridgeReal-time eligibility and out-of-pocket estimates, on Bridge's homepage
SOC 2
- AnvilType II in progress. HIPAA in place.
- BridgeSOC 2 certified, on Bridge's homepage
Claims risk
- AnvilAnvil carries it during rental
- BridgeNo financial risk for claims and denials, on Bridge's homepage
Specialties
- AnvilBehavioral health payer contracting is published
- Bridge50+ specialties on Bridge's homepage. A full list is not published
If you leave
- AnvilContracts are in your entity, so they stay with you
- BridgeNot published
Reimbursement rates
- AnvilParite ranges by state and CPT code
- BridgeNot published
MSO-PC and CPOM
- AnvilMSO plus your own PC, papered for state CPOM
- BridgeNot published
On claims and billing, Anvil runs telehealth revenue cycle management and carries claims risk during rental. Clinicians go live by roster-add through telehealth credentialing services. Why a roster-add is not a contract of your own is covered in what in-network nationally means. Eligibility checks run on a real-time insurance eligibility API at booking. Those run on one insurance operations platform for care companies, alongside payer contracting and compliance.
More on the Anvil side: telehealth billing platform pricing, switching without a revenue gap, reimbursement rates by state and CPT code, and the MSO-PC structure for telehealth. Bridge cells are from the Bridge homepage at usebridge.com, reviewed October 2026, or marked Not published when that page does not state them. Specialties also uses Bridge's health plans page, which names urgent care, behavioral health, and cardiometabolic care and does not publish a full list.
Ownership, entity, behavioral health, and the switch
You own the payer contracts
On Anvil, contracting for your entity runs in parallel with launch. As each contract is effective, new visits with that payer route to you. On a rental model, the vendor keeps the contracts, rates, and relationships. Getting contracts in your own entity's name is payer contracting for telehealth. Read how to own your payer contracts, month by month.
Rental PC vs your own entity
A rented PC is the fastest way to bill. It is the wrong place to stay. Anvil forms your professional corporation, places a physician owner, and papers the MSO-PC relationship for each state's CPOM rules. See CPOM and AKS compliance.
Behavioral health depth
Anvil is built for psychiatry, therapy, ABA, and IOP groups going from one state to many. Medicaid MCO panels, ABA authorizations, supervision billing, and collaborative care codes are the work. Start with behavioral health payer contracting. Anvil also bills visits off the screen through in-home care insurance billing. What payers publish for 60-minute psychotherapy is on 90837 reimbursement rates by state. Medicaid ranges by state are on Medicaid psychotherapy rates by state (2026).
Who should switch
Switch if you are at renewal, or an investor asked who holds the payer contracts, and those contracts are not in your entity. Do not give notice first. Keep billing where you are, form your PC, and move volume payer by payer. The steps are on switching from a network rental vendor.
The launch choice is rent a PC vs own a PC, under corporate practice of medicine for telehealth. If you bill cash-pay today, start with the Cash-Pay to Insurance Transition Telehealth: The Two-Phase Plan.
Own the contracts, not the rental
Questions, answered
Who owns the payer contracts on Anvil vs on Bridge?
On Anvil, you launch on our contracted PC and we migrate volume to contracts in your entity's name. Bridge's homepage describes a 50-state PC and does not say who holds the payer contracts. If you never hold them, they are not an asset you can take with you.
Does Bridge use its own PC, and does Anvil use my own entity?
Bridge's homepage says it uses a 50-state PC. It does not say whether that PC is yours. Anvil uses a PC to launch, then forms your own PC, places a physician owner, and bills under your entity as each of your contracts becomes effective.
How does Anvil handle behavioral health compared with Bridge?
Anvil publishes a dedicated behavioral health path: Medicaid MCO panels, ABA authorizations, psychiatry credentialing across states, supervision billing, IOP and PHP, and collaborative care codes. Send us your license mix and we will walk it. Bridge's homepage cites 50+ specialties and its health plans page names behavioral health. Ask Bridge for its full specialty list if you are comparing coverage.
How do I switch from Bridge without a revenue gap?
Keep billing where you are. Form your PC, file contract applications in your name, and move volume payer by payer as each contract is effective. Give notice after the majority of volume is on your contracts. Remaining payers can run through Anvil's rented PC. Start on the switching page.
What are the best alternatives to Bridge for telehealth insurance billing?
Anvil is a Bridge alternative for virtual care companies that want to own their payer contracts. Anvil launches your clinicians in-network on a credentialed 50-state professional corporation, then forms your own PC in parallel and moves volume to payer contracts in your entity's name. On Anvil, the payer contracts end up with you.
Bridge vs owning your own payer contracts: which is better for a virtual care company?
Bridge's homepage describes a 50-state PC and launch in as little as 30 days. It does not say who holds the payer contracts. Owning means the contracts sit in your own PC and stay with you if you switch vendors. Anvil launches on our PC, then migrates volume payer by payer to contracts in your entity's name.
What happens to my payer contracts if I leave a network rental vendor?
Contracts in your own professional corporation stay with you if you leave. Under network rental the vendor holds the payer contracts, so leaving without contracts in your name is a relaunch.
How much does Bridge charge?
Bridge does not publish pricing on its site that we could verify. Anvil publishes pricing: a platform fee on collections during rental, plus fixed fees for your own PC and physician owner. The fee steps down as volume moves to contracts you own. Model Anvil on the pricing page, then send us your numbers for a side-by-side.
How do CPOM and AKS show up in this comparison?
Anvil's rental phase is structured to align with the AKS personal services safe harbor. Your own PC is structured for each state's corporate practice of medicine rules, with an MSO-PC management agreement. That is the ownership path. Counsel reviews every Anvil structure.
What is a good Bridge alternative?
Anvil is a Bridge alternative that launches clinicians in-network on a credentialed 50-state professional corporation, then moves volume to payer contracts in your entity's name. Bridge's homepage describes a 50-state PC and does not say who holds the payer contracts.
Send us your current agreement. We will map the exit.
Notice terms, which payers move first, and what you own when you are done. Bring your numbers. We will map them against published Anvil pricing.