A disciplined operating model for payer administration.
Ellery Health Partners provides managed payer-administration services for independent medical practices. Our operating model is built around clearly assigned workflows, documented activity, defined service boundaries, and accountable delivery.
Depending on the engagement, Ellery Health Partners supports prior authorization, insurance verification and benefits, claims follow-up, denial and appeal administration, and provider credentialing and payer enrollment.
Work is performed through practice-approved systems and authorized payer channels. Each engagement establishes the services included in scope, expected capacity, documentation requirements, escalation points, and responsibilities retained by the practice.
This structure allows practices to assign payer-facing administrative functions to Ellery Health Partners while maintaining visibility into activity, control over system access, and appropriate clinical oversight.
Operating principles
Clear ownership
Administrative responsibility is established within the service scope, including execution, follow-up, documentation, and escalation.
Documented activity
Payer calls, submissions, requirements, reference numbers, status updates, and follow-up activity are documented within the approved workflow.
Defined scope
Each engagement establishes the services Ellery Health Partners performs, the responsibilities retained by the practice, the systems used for delivery, and the circumstances requiring escalation.
Clinical and practice responsibilities
Ellery Health Partners performs administrative payer functions only. Clinical judgment, medical necessity determinations, coding decisions, provider attestations, and other responsibilities requiring clinical authority remain with the practice.
Ellery Health Partners does not make clinical decisions, determine medical necessity, provide medical advice, select or modify diagnosis or procedure codes, conduct peer-to-peer reviews, sign provider documents, or represent itself as the treating provider.
Pharmacy-benefit prior authorizations are outside the current service scope.
Discuss your requirements
Provide your practice information, the services under consideration, and approximate monthly volume. Ellery Health Partners will review the requirements and respond with the appropriate service scope and next steps.
No patient information is requested or accepted through this website.