When a health plan rejects your application or says its panel is closed, we find out why, check which rules reach that plan, and prepare the reconsideration request, the evidence and the letters. You sign and send them; we track every deadline until the payer answers.
A $249 rejection review to start, $799 per payer to dispute, and a flat win fee only if a payer offers you a contract.
A closed panel is usually lawful, and often not the final word. What a closed panel means, and what you can do →
We read the denial and identify the plan type, because Medicare Advantage, Medicaid managed care, insured commercial plans and self-funded employer plans follow different rules. We check the deadlines already running, your state's credentialing and network adequacy rules, and the routes around a closed panel, then give you a written plan. $249, credited toward a dispute.
We prepare the reconsideration request, the access-gap evidence and the letters and, where the law supports one, a complaint to the regulator. You sign and send each one; we track every deadline and response. $799 per payer, or $1,999 for three.
When a payer offers a contract, approves your credentialing or agrees to a single-case agreement, you pay a flat win fee: $1,500, never a share of what you bill. Enrollment then passes to our White Glove Credentialing sister team, and Panel Watch can keep an eye on the plans that still say no.
36 jurisdictions set a verified deadline for plans to decide a credentialing application. Pick a state for its any willing provider, credentialing and network adequacy rules.
Physicians, therapists, nurse practitioners, PAs and other clinicians, and the practices and groups that employ them, when a health plan rejects an application, says its panel is closed, or ends a contract. First-time payer enrollment is handled by our sister team at whiteglovecredentialing.com.
Usually, yes. Federal rules let Medicare Advantage and Medicaid managed care plans decline providers beyond what their enrollees need, and most states have no broad any willing provider law. Plans still owe a written reason and adequate networks. What a closed panel means.
No. We are not a law firm and do not represent providers or give legal advice. We research the rejection and prepare the reconsideration request, the evidence and the letters; you sign and send them, and we track every deadline. When a matter needs a lawyer, we say so and you hire a healthcare attorney directly.
A rejection review is $249 and is credited toward a dispute. A dispute is $799 per payer, or $1,999 for three. If a payer offers a contract or approves your credentialing, the win fee is a flat $1,500 ($1,250 in a bundle). Every price.
A share of what you bill can run into state fee-splitting rules for licensed professionals, and it would tie our fee to your revenue for years. A flat fee per win is simpler, and you know it before you start.
Probably not a broad one. Arkansas, Kentucky and South Dakota have broad laws, a few states have narrow ones for certain plans or providers, and none reaches a self-funded employer plan. Many states do set credentialing deadlines and network adequacy standards. Look up your state.
No, and nobody honestly can. The payer decides. What we control is a documented case: why the plan said no, the rules that reach it, and evidence of the access gap your patients face.
Enrollment. Our sister team at whiteglovecredentialing.com handles the contract paperwork, the payer enrollment and the maintenance after it. Panel Watch ($199 per year) keeps an eye on the plans that still said no.
White Glove Network Access helps physicians, therapists, nurse practitioners and practices that a health plan has turned away. We read the denial, research the rules that reach that plan, and prepare the reconsideration request, the access-gap evidence and the letters. You sign and send them; we track every deadline and response.
No federal law makes a plan accept every provider, and any willing provider laws are rare. But plans owe a written reason, have to meet network adequacy standards, and in many states must decide credentialing by a deadline. A documented case built on those rules is what changes a plan's answer.
We are not a law firm and do not represent anyone. When a matter needs a lawyer, we say so. When a payer says yes, our White Glove Credentialing sister team handles the enrollment.
Being out of network has real costs: patients who cannot afford to see you, a schedule that will not fill, a new hire who cannot bill.
10 business days
longest wait for an outpatient mental health visit in Medicaid managed care, from 2027
Medicaid plans must meet appointment wait standards for rating periods starting on or after July 9, 2027: 10 business days for outpatient mental health and substance use care, 15 for primary care and OB/GYN. A full panel with long waits is evidence.
In writing
how Medicare Advantage and Medicaid plans must explain a refusal
Both kinds of plan may decline providers beyond what their enrollees need, but both must give written notice of the reason. That reason is where a dispute starts.
2003
the year the Supreme Court upheld Kentucky's any willing provider law
Any willing provider laws survive for insured plans but cannot reach self-funded employer plans, and only a few states have a broad one. Knowing which rules reach your plan comes first.
"A one-line letter that says the panel is closed looks final. Behind it are rules most providers never see: the written reason a plan owes, the adequacy standards it files with its regulator, the deadlines some states set for credentialing, the exceptions for groups and single cases. We built White Glove Network Access to read those rules for providers and prepare the case they send."
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