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Provider Profile Configuration

Configure your provider profile settings to optimize your PriceMedic experience. Manage access for your team, create and edit billing code lists, configure markets, and understand key elements of your profile.

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Adding Users to Your Profile

On the Settings page, click “Add Member” and enter the email of the user you want to add. When you add someone as a member to your provider profile, you’re giving them access to view and work with your practice’s important business information on our platform. Members can see your rates, view reports about how your practice compares to competitors, and access market insights that help with business decisions. While they can make basic updates to certain information, they won’t be able to add or remove other team members or change important system settings. This way, your team can work together and access the data they need while keeping control over who has access to your account.

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What Members Can Access

Once someone becomes a member, they’ll be able to see everything about your practice within our system:

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Member Capabilities

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Viewing and Requesting Payers

On the Settings page, you’ll find a comprehensive display of all the payers we’ve automatically loaded into your profile. This overview provides essential information including the most recent rate updates and current processing status for each payer. These payers serve as the foundation for our other analytical tools, such as creating detailed Rates Tables and conducting market comparisons.

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Missing Payers

If you notice that a payer you’re contracted with is not listed, there are several possible reasons that prevent us from making their data accessible:

• The data we receive does not align with our processing requirements.
• The payer’s data is not comprehensive or has inaccuracies that could be confusing.

We continuously work to expand our payer coverage, but occasionally encounter these challenges. For any missing payers that are critical to your practice, please reach out to our support team, and we’ll work to prioritize adding them to your profile if possible.

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Creating and Selecting Billing Code Lists

Detailed Billing Code Information

For comprehensive information about billing code lists, including creation, management, and best practices, visit our dedicated Billing Code Lists page.

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What are billing code lists?

Billing code lists allow PriceMedic to target your statistics and analyses based on the services and procedures your practice routinely bills. You provide us with a list of the services and procedures , usually exportable from your practices’ EHR system, that matter the most for your practices’ financials, and then your Provider Profile automatically updates your insights to reflect the market rates around those billing codes.

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How They Enhance Your Experience

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Automatic Fallbacks

If you don’t have a specific list assigned, don’t worry - our system intelligently selects a default billing code list. We utilize information about the medical specialties of the providers that work at your practice to suggest the most appropriate and commonly billed codes. This ensures that, even with a custom billing code list, you are always getting meaningful insights right from the get-go.

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Provider Markets

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What Are Provider Markets?

This location setting is automatically initialized during profile creation based on the geographic footprint of your practice. These locations directly influence which competitors and rates are included in your market comparisons and analysis.

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What Do Markets Affect?

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Why Should You Change It?

You may want to modify these settings if:

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Setting Multiple Markets

Setting multiple locations is particularly valuable for practices operating across different markets, as it allows you to:

• Compare performance and opportunities across various geographic regions simultaneously
• Identify market variations and competitive landscapes in different areas
• Spot potential expansion opportunities
• Understand regional pricing differences

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Refreshing Your Provider Profile Data

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Automatic Updates

Whenever you update your profile settings, including location preferences or payer selections, your profile data will automatically refresh to reflect these changes and ensure you’re working with the most current information available.

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Scheduled Refreshes

To maintain data accuracy and relevance, we also perform automatic profile refreshes if no manual updates have occurred within the past 15 days. This ensures your analysis always incorporates:

• The latest rate releases from payers
• Current market data and trends
• Recent changes in the healthcare pricing landscape
• Updated competitive intelligence

Scheduled refreshes do not require any actions from the user.

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Primary Taxonomy Codes

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What Is a Primary Taxonomy Code?

Your primary taxonomy code is found via the taxonomy code linked to your primary Organization NPI Number. Primary taxonomy codes enable our platform to provide specialty-specific insights tailored to your practice.

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How It Works

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Viewing and Updating Your Taxonomy Code

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Institutional vs. Professional Profiles

Profile types affect how your practice data is organized and displayed within the PriceMedic platform. The distinction between institutional and professional profiles helps ensure appropriate comparisons and analysis based on your practice structure.

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Keep Exploring

Once your provider profile is fully configured, you can: