Switching from a network rental vendor without losing revenue
Keep billing through your current vendor until each of your own contracts is effective, so there is no revenue gap. Form your professional corporation, file contract applications in your name, and move volume payer by payer as each contract is effective, then give notice. Remaining payers can run through Anvil's rented PC.
Updated November 1, 2026
You are at renewal, or an investor asked who owns your payer contracts, or the lease fee stopped making sense. Keep billing where you are while your own contracts come live, then switch payer by payer.
No revenue gap, by construction
The exit papers an MSO-PC structure for telehealth and CPOM, AKS, and the MSO-PC structure, so billing under your own entity is compliant as volume moves. See how to own your payer contracts month by month, and whether to rent a PC or build your own professional corporation. Model the move against 90837 reimbursement rates by state.
The move also has to fit state rules on who may own the professional entity.
Before notice
Review your agreement. Collect credentialing files. Form your PC and place the physician owner. File contract applications in your name.
Contracts land
As each payer contract in your PC becomes effective, new visits with that payer route to you. Old vendor keeps billing the rest.
Give notice
When the majority of volume is on your contracts, give notice. Remaining payers run through Anvil's rented PC or your own as they land.
Done
All volume on entities you control. Anvil runs RCM, renewals, and new-state expansion.
As each payer moves, its claims run through telehealth revenue cycle management.
Drag through the first 18 months
A typical migration. Volume moves to your PC as each payer contract in your name becomes effective. The platform fee steps down with it.
What should a telehealth founder ask before signing with an insurance billing or network rental vendor?
Ask who holds the payer contracts and whose entity you bill under. Ask whether you see the contracted rate or only a fee, what the notice and non-solicitation terms are, what happens to contracts and credentialing files if you leave, and whether there is a path to contracts in your own professional corporation.
- Who holds the payer contracts: you, or the vendor's professional corporation (PC)?
- Whose entity do claims bill under, and who receives the payment?
- Do you see the contracted rate for each payer and code, or only a fee?
- What are the notice, term, and non-solicitation terms?
- If you leave, what happens to your payer contracts and credentialing files?
- Is there a path to payer contracts in your own PC, and does the fee change as volume moves?
- Who carries claims and denial risk while you bill under the vendor's PC?
- Is pricing published, so you can model it before a sales call?
Anvil's answers: payer contracts move to your own PC as each one becomes effective, the contracted rate and our fee are separate lines, the platform fee steps down as volume moves, and pricing is published. The contract, panel and roster terms behind these questions are defined in what in-network nationally means.
Network rental vendors compared
Ask who holds the payer contracts before you sign. Ask whether you see the contracted rate or only a fee. Ask what happens to those contracts when you leave. The path off that rental is to own your payer contracts.
Compare Anvil and Bridge on contract ownership
Bridge's homepage describes a 50-state PC. It does not say who holds the payer contracts. See the Bridge insurance billing alternative.
Own the contracts, not the rental
Questions, answered
How do I switch from a network rental vendor?
Keep billing where you are. Form your PC, file contract applications in your name, move volume payer by payer as each contract is effective, then give notice. Leave the rental PC only after the majority of volume is on contracts you own. Remaining payers can run through Anvil's rented PC.
Will there be a revenue gap?
No. You keep billing through your current vendor until each of your own contracts is effective. Only then does that payer's new volume move. If your current agreement allows, we can also run new states on our PC during the switch.
How long does it take?
Your own PC forms in weeks. Commercial contracts commonly land in 4 to 8 months. Medicaid varies by state. Most switches complete inside 12 months without a single payer going dark.
What do we need from our current vendor?
Your clinicians' credentialing documents and any executed agreement terms about notice and non-solicitation. We review those before you give notice.
Can our engineers keep the same eligibility integration?
You will move to our API, which is designed to be a small change. Sandbox keys come first so the swap is tested before any volume moves.
What if a payer panel is closed for a new entity?
That payer's volume runs through our rented PC until the panel opens. You are never stuck on your old vendor for one payer.
How do I switch from a network rental vendor to my own payer contracts without losing revenue?
Keep billing through your current vendor until each of your own contracts is effective, so there is no revenue gap. Form your professional corporation, file contract applications in your name, and move volume payer by payer as each contract is effective, then give notice. Remaining payers can run through Anvil's rented PC.
What should a telehealth founder ask before signing with an insurance billing or network rental vendor?
Ask who holds the payer contracts and whose entity you bill under. Ask whether you see the contracted rate or only a fee, what the notice and non-solicitation terms are, what happens to contracts and credentialing files if you leave, and whether there is a path to contracts in your own professional corporation.
Send us your current agreement. We will map the exit.
Notice terms, non-solicits, and which payers move first. Reviewed before you say anything to your vendor.