Going beyond standard care.
Exceptional doctors deserve exceptional solutions — DirectPay gets it.
That’s why we’ve combined the benefits of participating in a national provider network with the advantages of innovative claim payment.
Healthcare Providers
Opportunity starts with preferred providers and successful practice management.
Many practices struggle with billing, collections and other administrative tasks distracting doctors and other medical professionals from focusing on practicing medicine — enter DirectPay.
We understand healthcare, providers and medical claims. It’s what we’ve done for more than 30 years.
Up front, we offer short, transparent provider contracts with explicit reimbursement rates and don’t charge providers any enrollment, credentialing or software fees.
On the backend, we’re able to collect claim payment, review remittances for accuracy, disburse payments directly to providers via virtual card, ACH or EFT and have refined processes for handling appeals, disputes, settlements and Department of Insurance filings to ensure full and proper payments.
Carriers, Plans & Other Payers
More than 1,900 carriers, plans and other managed care organizations access the DirectPay network for individual and group health, workers compensation and auto liability products.
Our established network offers access to millions of provider locations offering all types of medical care at contracted reimbursement rates to fill gaps in patient coverages both locally and out-of-area.
As a network with directly contracted providers, accessing DirectPay allows for increased payment acceptance and expedited adjudication cycles.
Furthermore, our industry-best expertise and streamlined operations enables us to offer customized provider recruitment for carriers and plans needing increased participation by specialty or geographic location.
Covered Members & Dependents
Patients with access to the DirectPay network have extended coverage options with participating providers in more service areas.
We offer providers of all types and specialties in all 50 states from single-physician practices to large-scale health systems.
With 4.3 million participating locations across the country, covered members and their dependents can seek care from Acute Care Hospitals, Ancillary Facilities, Chiropractors, DMEs, Home Health Practices, Laboratories, Mental Health Specialists, MRI Centers, Physical Therapy Offices, Radiologists, Surgery Centers, Urgent Care Clinics and many other medical professionals.
*Patients seeking care from a DirectPay provider must have healthcare coverage through a carrier or plan accessing the DirectPay network.