Rent the network. Own the contracts. Run both on one platform.
Anvil is an insurance operations platform for care companies. We run all five workstreams, first under our entity so you can launch, then under yours so you keep the asset.
What you would have to hire, and what Anvil does instead
| Workstream | Build it yourself | With Anvil |
|---|---|---|
| Payer contracting | Contracting lead with payer relationships in each state, plus counsel for contract review. | Rent: you bill under our existing contracts. Own: we contract your entity with commercial, Medicaid, and MA payers, and you see the rate ladder. |
| Credentialing and enrollment | One credentialing specialist per 30-40 clinicians, a CAQH process, and someone chasing payer portals every week. | Roster-adds under our PC in weeks. Full credentialing files under your entity, largely automated, tracked in one place. |
| Real-time eligibility | A clearinghouse contract, an engineer to integrate 270/271, and ops to handle the payer outages. | One API and a hosted widget. Soft check at booking, copay estimate, outage detection built in. |
| Coding and claims | Certified coders, a billing team, a clearinghouse, and charting standards that survive an audit. | Coding review, claim submission, and charting standards that survive an audit. Clean-claim rate reported monthly. |
| Denials and AR | AR specialists working aging reports, appeals writers, and a way to see which payer is the problem. | Denial management and appeals, AR by payer and by clinician, with the claims risk on us during rental. |
Two entities. Volume moves from ours to yours.
This is the diagram to send your co-founder.
Fits the stack you already have
EHRs and scheduling
Eligibility at booking works with your own booking flow through the API or the hosted widget. Charting standards are documented per EHR. Ask about yours.
Clearinghouses and payments
Claims go through our clearinghouse under either entity. Patient responsibility can be collected through your existing payment processor, Stripe included.
Reporting
Collections by entity, payer, state, and clinician. Contracted rate and platform fee as separate lines. Exports and a reporting API.
Built for a regulated business
What is in place
- HIPAA program, BAA available on request
- Encryption in transit and at rest, role-based access, audit logging
- No PHI collected on this marketing site
What is in progress
- SOC 2 Type II, with a public trust center on completion
- Published sub-processor list
Dated roadmap on the compliance page.
See the five workstreams on your own numbers.
Run the calculator, then talk to us about the tier that fits.