Pacific Viking Consulting
Payer Contracting

Payer Contracting Consulting for Behavioral Health Treatment Centers

We help you decide which payers to pursue, what the contract should say and when out-of-network is the better position.

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The service

The contract itself, decided before you sign

Payer contracting consulting covers the agreements between your treatment center and the health plans that pay for care. It is for owners, CFOs and operators who want in-network contracts, better terms or a clearer payer mix. Pacific Viking reviews your payer mix and builds the contract strategy with your team. Book a free discovery call to review your payers.

Pacific Viking is a consulting firm, not a billing company, and it does not give legal advice. Each payer decides whether to contract and what it will pay.

Scope

What payer contracting consulting covers

  • Payer mix review

    We look at which payers your program serves now and which ones it should pursue next, given your level of care.

  • Contract strategy

    We help you prepare for negotiation, read proposed terms and decide what to accept, what to push back on and what to decline.

  • In-network or out-of-network

    We weigh out-of-network strategy where it fits the program, so joining a network is a decision you make on purpose.

  • Commercial, Medicaid and managed care payers

    Pacific Viking works with commercial, Medicaid and managed care payers, and the strategy covers each payer type your program works with.

Related work

How contracting connects to credentialing and billing

Pacific Viking consults on each step and does not submit claims. Your billing team or vendor does that work.

  • Credentialing comes first

    Credentialing and payer enrollment get your facility and providers into a network. Our credentialing consulting covers that work.

  • Contracting sets the terms

    Contracting decides what the agreement says. Pacific Viking consults on both, so the two pieces of work run in the right order.

  • Billing collects what the contract allows

    Your billing team or vendor submits the claims. Pacific Viking works on the operational causes of revenue loss so your team can submit clean claims.

  • Revenue cycle after the contract

    Once the contract is signed, our revenue cycle consulting looks at denials, collections and billing performance.

Scope limits

What Pacific Viking does not do

No billing or claim submission
Pacific Viking is not a billing company. Your billing team or vendor submits claims and follows up on them.
No legal advice
Pacific Viking does not give legal advice. Your healthcare counsel reviews the contract language before you sign.
No contract promise
Each payer decides whether to contract with your program. Pacific Viking prepares the strategy and supports your team through the process.
No rate promise
Each payer sets what it will pay. Pacific Viking does not promise a rate, a rate increase or a revenue result.
Federal parity law

Parity law in one paragraph

  • The Centers for Medicare & Medicaid Services describes the Mental Health Parity and Addiction Equity Act as a federal law that “generally prevents group health plans and health insurance issuers that provide mental health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical/surgical benefits.”

    Source: cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity · Checked Nov 12, 2026

Process

How an engagement runs

  1. 01

    Discovery call

    A free call of about 30 minutes about your program, the payers you work with now and the contracts you're considering.

  2. 02

    Operational assessment

    We review your payer mix, your current agreements and the revenue data behind them, and we list what to fix first.

  3. 03

    Strategic roadmap

    You get a prioritized payer strategy with defined milestones: which payers to pursue, in what order and on what terms.

  4. 04

    Implementation and support

    We support your team through each negotiation and coordinate with your credentialing work, your billing team and your counsel.

FAQ

Frequently asked questions

What does a payer contracting consultant do for a treatment center?

A payer contracting consultant reviews your payer mix and helps you decide which contracts to pursue and on what terms. Pacific Viking also weighs out-of-network strategy where it fits the program.

Is payer contracting the same as credentialing?

No. Credentialing and payer enrollment get your facility and providers into a network. Contracting is about the terms of the agreement, and Pacific Viking consults on both.

Does Pacific Viking bill insurance for us?

No. Pacific Viking is a consulting firm, and it is not a billing company. It fixes the operational causes of revenue loss so your billing team or vendor can submit clean claims.

Can Pacific Viking guarantee a contract or a rate?

No. Each payer decides whether to contract and what it will pay. Pacific Viking prepares the strategy and supports your team through the process.

Does parity law apply to behavioral health benefits?

Federal parity law generally stops health plans from limiting mental health and substance use disorder benefits more than medical and surgical benefits. Ask your healthcare attorney how it applies to a specific contract or claim.

Next step

Review your payer mix before you negotiate

Book a free discovery call of about 30 minutes. Bring your current payer list and the contracts you're weighing, and we'll talk through where to start.

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