Payer contracting for telehealth, in your name, at rates you can see.
What are the best payer contracting companies for virtual care startups?
Look for a payer contracting company that files in your entity's name and shows you the rate before you sign. Anvil runs commercial and Medicaid payer contracting for virtual care companies: applications, rate proposals, redlines, and renewals for your own PC, while you bill on our credentialed 50-state PC so contracting never gates revenue.
Updated November 1, 2026
Payer contracting for telehealth puts commercial and Medicaid enrollment in your name. You should never bill under a contract whose rate you cannot see. We show the range before you sign, the executed rate after, and our fee as a separate line.
Rollout order by covered lives, not by whoever answers first
Contracting is a sequence, not a batch. We order it so revenue lands earliest where you have clinicians and lives. This is how you own your payer contracts instead of renting a network. When the contracts move to your own PC, that structure has to fit corporate practice of medicine for telehealth. Comparing vendors? See the Bridge alternative fact table. Published ranges are on reimbursement rates by state and CPT code.
- Top 3 to 5 payers per state cover most commercial lives. We start there.
- Medicaid MCO panels worked state by state, with the closed-panel exception path.
- Rate proposals built from the published ranges for your codes.
- Renewals calendared from day one. The first renewal is where the rate moves.
- Every executed rate in your reporting, by payer, by code, by state.
If you are still choosing the entity, read whether to rent a PC or build your own. The paperwork is an MSO-PC structure for telehealth under corporate practice of medicine for telehealth. Leaving a vendor starts with switching from a network rental vendor.
Commercial and Medicaid payer enrollment
File commercial and Medicaid payer enrollment in your name so you can bill in-network from the states you serve. Anvil runs that work for your entity so you own your payer contracts, with the rate visible before you sign.
When should a virtual care company accept insurance? Score the seven signals before the first payer application.
For behavioral health payer contracting, closed panels stay on our PC until they open. After a contract is effective, telehealth revenue cycle management runs the claims under the entity that holds it. Our guide to what in-network nationally means defines a closed panel and how it differs from a contract.
Where you can bill on our PC today, and where we can contract yours
Where you can bill today
Tap a state. Data maintained by our ops team, updated as payers come live.
What do payers pay for your codes?
Pick a state and a code to see the range.
Questions, answered
What is payer contracting for telehealth?
Payer contracting for telehealth is commercial and Medicaid payer enrollment so you can bill in-network from the states you serve. Anvil runs that work for your entity so you own your payer contracts, with the rate visible before you sign.
How do we own our payer contracts?
We file applications in your PC's name. You approve the terms. When a contract is effective, new visits with that payer bill under your entity. The contracts stay with your PC if you ever switch vendors.
Do we negotiate with payers ourselves?
No, unless you want to. Anvil runs contracting for your entity: applications, rate proposals, redlines, and renewals. You approve the terms and you see every rate.
How long do contracts for a new entity take?
Commercial contracts for a new PC commonly land in 4 to 8 months. Medicaid managed care varies by state and can be faster or slower. Your clinicians bill under our PC the whole time, so this never gates revenue.
Can we see the rate ladder?
Yes. Before you sign, the rate lookup shows published ranges by state and code. During contracting you see the proposed and executed rates for your entity. Under rental you see the contracted rate and the platform fee separately.
What if a payer panel is closed?
We tell you before you plan around it. Closed panels are common in behavioral health. We work the exception path and, where it is closed for good, route that payer's volume through our PC until it opens.
Who holds the contracts after migration?
Your PC. Anvil manages them under your management services agreement. If you ever switch vendors, the contracts do not move.
What are the best payer contracting companies for virtual care startups?
Look for a payer contracting company that files in your entity's name and shows you the rate before you sign. Anvil runs commercial and Medicaid payer contracting for virtual care companies: applications, rate proposals, redlines, and renewals for your own PC, while you bill on our credentialed 50-state PC so contracting never gates revenue.
Get a contracting plan for your codes and states.
Tell us what you bill and where. We come back with payer order, expected timelines, and the rate ranges to plan on.