PPS works with practices throughout Pennsylvania on insurance credentialing, provider enrollment, insurance contract negotiations, website design, practice start-up services and general practice consulting. Each proposal is scoped to the work your practice actually needs.
Services for Pennsylvania practices
Credentialing & enrollment
Organize provider records, payer applications and enrollment follow-up.
Explore service 02 / Healthy foundationsPractice start-up
Bring your payer strategy, people and business decisions into an opening plan.
Explore service 03 / Payer relationshipsContract negotiations
Review agreements and prepare a practice-specific approach to negotiations.
Explore service 04 / Patient growthWebsite design & marketing
Connect your practice with patients through a clear website and online presence.
Explore serviceProvider & payer support
- Provider credentialing services
- Credentialing maintenance
- Credentialing software
- Telemedicine credentialing
- Medicare individual, group and reassignment enrollment
- PA Medical Assistance enrollment
- DMEPOS Medicare enrollment
- ERA and EFT enrollment
Business & operations
- Practice consulting: pro forma development, budgets, EHR selection and billing review
- Practice location analysis: competition, cost-of-living trends and economic conditions
- Practice compliance and education
- Employment manuals (paid resource)
- Marketing strategy, social media and online profiles
- Business development and recruitment
- Medical website design and search engine optimization
- Health review site submission and monitoring
Payer credentialing in Pennsylvania
Your payer strategy depends on your specialty, location and the patients you expect to serve. PPS can help evaluate participation opportunities and coordinate credentialing and enrollment, including commercial plans, Medicare, PA Medical Assistance and workers compensation networks. Confirm current network availability directly with each payer.
Use these official resources as a starting point:
These are some of the plans and networks we have worked with in the Pennsylvania market. Participation options depend on your location and specialty, and network status changes, so confirm current availability with each payer.
- AARP
- Aetna
- AmeriHealth HMO
- Assurant Health
- Avalon Health
- Blue Cross of Northeastern Pennsylvania
- Bravo Health
- Capital BlueCross
- Celtic Insurance Company
- Cigna
- Coventry Health and Life
- First Priority Health
- FreedomBlue PPO
- Galaxy Health Network
- Gateway Health Plan
- Geisinger Health Plan / Geisinger Quality Options
- Golden Rule Insurance Company
- HealthAmerica Advantra
- Health Partners of Philadelphia
- HCC Life Insurance Company
- Highmark Blue Cross Blue Shield
- IHC Group
- Independence Blue Cross
- Inter-County Health Plans
- John Alden Life Insurance Company
- Keystone Health Plan Central / East
- Martin’s Point Health Care
- Magellan Behavioral Health of Pennsylvania
- Medicare
- PA Fair Care
- PA Medicaid
- Time Insurance Company
- Senior Health Insurance Company of Pennsylvania (SHIP)
- UnitedHealthOne
- Unison Family Health Plan
- UPMC Health Plan
- Value Behavioral Health of Pennsylvania
- Vista Health Plan
Supporting practices across Pennsylvania
We work with therapists, advanced practice providers, physicians, facilities, hospitals and universities across Pennsylvania. These are some of the cities where we have recently supported credentialing and practice start-up work:
- Philadelphia
- Pittsburgh
- Allentown
- Erie
- Reading
- Upper Darby
- Bethlehem
- Scranton
- Bensalem
- Lower Merion
- Lancaster
- Abington Township
- Bristol
- Levittown
- Millcreek Township
Free practice start-up checklist
Work through the checklist and timeline so nothing is missed or done out of order while you open your practice. It is free to any new practice. We ask for a short validation step before sending it.
Free resources for your practice
Use these guides and templates to prepare your practice. Read resources online, download available files or request a copy by email. The employment handbook is a paid resource, discounted for new practices.
- Practice start-up checklistsRequest by email →
- Medicare enrollment guideRead online →
- Medicare Wellness FormsRequest by email →
- Physician Employment AgreementRequest by email →
- HIPAA and Mental Health Information SharingRequest by email →
- Practice OSHA Safety Plan Practice KitRequest by email →
- OSHA Workplace Injury FormRequest by email →
- Notice of Privacy PracticesRequest by email →
- Medicare bank letter templateView & download →
- Practice employee handbookPaid resource →