Advisory Support Designed for Healthcare Providers

The Provider Advocate offers independent, advisory support to healthcare providers navigating business, payer, and operational decisions in complex healthcare environments.

Services are designed to help providers understand options, risks, and downstream implications — so decisions are informed, intentional, and aligned with long-term goals.

All services are advisory in nature and tailored to the unique context of each provider or practice.

Contract & Payer Advisory

Support for understanding and navigating payer relationships, contracts, and communications.

This includes advisory guidance related to:

• reviewing payer contracts and amendments

• evaluating participation, renewal, or exit decisions

• interpreting payer policies and communications

• understanding network status, reimbursement structures, and leverage

• assessing downstream operational and financial implications

The goal is clarity — not pressure — before commitments are made.

Credentialing & Network Advisory

Guidance for providers navigating credentialing, enrollment, and participation challenges.

Support may include:

• advising on credentialing and recredentialing processes

• identifying causes of delays or participation issues

• reviewing payer requirements and timelines

• evaluating credentialing vendors or internal workflows

• providing oversight and tracking support for applications (advisory)

Execution remains with the provider or designated teams.

Operational & Business Decision Support

Advisory support for operational questions that affect provider sustainability and day-to-day reality.

This may include guidance related to:

• understanding revenue trends or operational friction

• evaluating administrative and workflow challenges

• assessing readiness for growth, change, or consolidation

• navigating transitions with intention rather than reaction

Support is grounded in real-world healthcare operations and system context.

Vendor Evaluation & Advisory

Independent guidance when evaluating vendors that support provider operations.

This may include:

• reviewing billing, credentialing, or operational vendors

• identifying risks, tradeoffs, and contract considerations

• assessing alignment with provider goals and practice size

• helping providers ask the right questions before committing

The Provider Advocate does not accept referral incentives or vendor fees.

Billing & Revenue Process Optimization (Advisory)

Advisory guidance focused on understanding billing and revenue processes — not claims submission.

This includes:

• identifying potential process gaps affecting revenue

• reviewing workflows and handoffs for efficiency or risk

• advising on billing vendor performance and oversight

• supporting informed conversations with billing partners

The Provider Advocate does not submit claims or replace billing services.

Ongoing Advisory Support

For providers seeking continuity and a trusted perspective over time.

Ongoing advisory relationships may support:

• periodic check-ins and decision review

• tracking credentialing or payer-related activity

• monitoring operational or revenue concerns

• navigating evolving healthcare environments

Scope is defined collaboratively and revisited as needs change.

How Engagements Work

• Services are advisory and consultative

• Scope is clearly defined before work begins

• Providers retain control of all decisions

• Legal, billing, and compliance services are not provided

Engagements are designed to be thoughtful, practical, and respectful of provider time and priorities.

If you are navigating a payer, credentialing, vendor, or operational decision and would value independent perspective, we can begin with a conversation to understand your needs and determine whether support is a good fit.