PPS has worked in Virginia for the past ten years and supports hundreds of providers each year with practice management, physician credentialing, insurance enrollment and practice start-up. Each proposal is scoped to the work your practice actually needs.
Services for Virginia 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
Business & operations
- Solo and group practice start-up services
- Insurance contract negotiations
- Practice consulting: budgets, financial projections, EHR selection and billing review
- Employment manuals (paid resource)
- Branding, website design and search engine optimization
- Social media and online profile management
- Business development and recruitment
Payer credentialing in Virginia
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 across commercial plans, Medicare, Virginia Medicaid 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 Virginia market. Participation options depend on your location and specialty, and network status changes, so confirm current availability with each payer.
- AARP
- Aetna
- American Progressive Life & Health Insurance of New York
- Amerigroup Virginia
- Anthem Health Plans of VA / Anthem BlueCross BlueShield
- Arcadian Health Plan
- BluePreferred
- CareFirst BlueChoice
- Coventry Health & Life
- Family Access to Medical Insurance Security (FAMIS)
- GHMSI
- Golden Rule Insurance Company
- HealthKeepers
- Humana
- John Alden Life Insurance Company
- Kaiser Foundation Health Plan Mid-Atlantic
- Mamsi Life and Health Insurance
- Medicaid
- Medicare
- Optima Health Insurance Company
- Piedmont Community Health Plan
- Time Insurance Company
- Trustmark Insurance
- UnitedHealthCare
- Virginia Premier Health Plan
Supporting practices across Virginia
We provide services to physicians and facilities across Virginia. These are some of the cities where we have recently supported credentialing and practice start-up work:
- Virginia Beach
- Norfolk
- Chesapeake
- Arlington
- Richmond
- Newport News
- Alexandria
- Hampton
- Roanoke
- Portsmouth
- Suffolk
- Lynchburg
- Centreville
- Dale City
- Reston
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.
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 →