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A physician standing with arms crossed in a bright clinic lobby, in front of the words Better Care, Stronger Communities.

Stronger practices. Healthier communities.

Payer operations that keep treatment and reimbursement moving.

Ellery Health Partners manages the payer-facing administrative work that sits between your practice, patient care, and reimbursement.

From authorization and payer follow-up through denial resolution, appeals, and provider enrollment, our U.S.-based team provides defined operational capacity inside the systems your practice already uses.

Request a Workflow Review Explore Payer Operations

One accountable operating model for the work between your practice and the payer.

Payer operations are rarely one isolated task. Eligibility affects authorization. Authorization affects reimbursement. Claims generate follow-up. Denials lead to reconsiderations and appeals. Provider enrollment determines whether services can be billed and paid correctly.

Ellery Health Partners brings defined ownership, documented follow-up, and clear escalation to those workflows.

Access & Authorization

Move patients toward treatment with payer requirements identified, completed, tracked, and documented.

Reimbursement & Resolution

Keep payer issues from sitting unresolved after services are delivered.

  • Claims & A/R Administration

    Payer-facing claim status, aging A/R follow-up, underpayment investigation, and recoupment follow-up.

  • Denials & Appeals

    Denial research, reconsideration and appeal administration, deadline tracking, payer follow-up, and root-cause reporting.

Provider & Network Operations

Keep providers enrolled, credentialed, and operational across the payer relationships your organization depends on.

Not every service is included in every engagement. The services, payers, and volumes in an engagement are defined in the written scope.

Credentialing & Payer Enrollment

Credentialing support for growing provider organizations.

Expanding your provider roster should not mean losing visibility into payer applications, reattestations, enrollment deadlines, and outstanding follow-up.

Ellery Health Partners supports defined credentialing projects and ongoing provider-roster administration for specialty practices, behavioral health organizations, and ABA providers.

Each engagement begins with a review of the requested work and a written scope defining responsibilities, deliverables, and reporting.

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Payer operations require real operating capacity.

Prior authorization alone consumes substantial physician and staff resources across U.S. medical practices.

  • 40Average prior authorizations completed per physician each week.
  • 13 hoursAverage physician and staff time spent on prior authorization each week.
  • 92%Of medical groups surveyed by MGMA reported hiring or reassigning staff specifically to manage growing prior-authorization volume.

Sources: American Medical Association physician prior-authorization survey, 2026; Medical Group Management Association, 2025.

Ellery Health Partners gives practices dedicated payer-operations capacity by assigning defined workflows to a managed operating partner with documented responsibilities and accountability.

Technology can automate transactions. Someone still has to own the outcome.

Payer workflows are becoming more electronic. The administrative work surrounding them still requires oversight.

Incomplete documentation. Additional-information requests. Status follow-up. Expirations and renewals. Payer discrepancies. Denials. Appeals. Enrollment problems. Exceptions requiring clinical escalation.

Ellery Health Partners manages the administrative workflow around those events, documents what happened, identifies what happens next, and routes matters requiring clinical judgment back to your practice.

  1. Your physicians remain responsible for medicine.

  2. Your practice remains in control of its systems and access.

  3. Ellery owns the payer-operations work defined in scope.

Built for specialty practices where payer complexity is part of everyday operations.

Ellery Health Partners supports independent practices and healthcare organizations with recurring payer-facing administrative volume.

The right fit is not determined by practice size alone. We review payer volume, specialty, workflow complexity, provider count, systems, and the administrative work your team is currently carrying.

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Managed payer operations with defined accountability.

An Ellery engagement is a managed service.

We define the payer workflows assigned to us, establish responsibilities and capacity in writing, perform the contracted work through practice-authorized systems, document activity, manage routine follow-up, and escalate exceptions through defined pathways.

Ellery gives your organization dedicated payer-operations capacity while your practice retains control of its systems, patient relationships, clinical decisions, and internal operations.

Monthly Operational ReportReporting period
  • Workload
  • Pending cases
  • Payer activity
  • Deadlines
  • Outcomes
  • Recurring administrative barriers
Current statusNext follow-upDeadline

Every Ellery engagement includes

  • U.S.-based delivery

    Contracted work is performed by personnel located in the United States.

  • Practice-controlled access

    Your organization provisions, controls, and can revoke the accounts Ellery uses.

  • Defined accountability

    Services, capacity, responsibilities, exclusions, and escalation pathways are documented in writing.

  • Documented follow-up

    Payer activity, reference numbers, requirements, statuses, and outcomes are recorded within the authorized workflow.

  • Operational visibility

    Reporting provides visibility into workload, pending cases, payer activity, deadlines, outcomes, and recurring administrative barriers.

  1. 1Define the Scope
  2. 2Configure Access
  3. 3Begin Delivery
  4. 4Document Activity
  5. 5Review

How It Works

Put payer work somewhere it can be owned.

Tell us where payer operations are consuming staff capacity, slowing treatment, or creating reimbursement problems.

Ellery Health Partners will review the workflow and recommend an appropriate operating scope.

Request a Workflow Review