Protect the mission. We run the operations that keep your health center whole.
Federally qualified health centers carry the widest patient population and the thinnest margin in healthcare. Metolius takes credentialing, revenue cycle, and payer complexity off the center — run as one operation, watched in one live dashboard — so every recoverable dollar reaches the mission it was meant for.
The administrative load falls hardest where the margin is thinnest
A community health center answers to more masters than almost any organization in healthcare: HRSA and UDS reporting, sliding-fee obligations, a Medicaid population that churns on and off coverage, and a payer mix no commercial practice would recognize. Credentialing delays keep new providers from billing. Denials and days-in-AR quietly drain the margin that funds care. And the staff carrying that load are the same people the community depends on to stay open. When operations stall, the mission stalls with them.
What Metolius runs for you.
Credentialing across a complex payer mix
CAQH managed, payer enrollment across Medicaid, Medicare, and every commercial plan your center works with, plus re-credentialing tracked ahead of deadline. New providers reach billable status sooner, so care and revenue can start earlier rather than waiting out enrollment.
Revenue cycle built for thin margins
End-to-end revenue cycle — denials worked, days-in-AR driven down, coding and collections handled — so recoverable dollars are actually recovered. On a sliding-fee model the margin lives in the details, and the details are where we operate.
Payer contracting handled by a network operator
We manage commercial and managed-care contracting across the network, pursuing rate improvement and durable terms where they can be negotiated. Managed Medicaid and Medicare Advantage complexity is handled by a team that does this at enterprise scale every day.
Value-based care your team can actually run
Risk stratification, care-gap closure, HCC coding, quality measures, and patient outreach — the population-health workflow surfaced through the platform, so your center can participate in value arrangements without standing up a department to do it.
From first call to live operation.
Discovery
We map your current credentialing status, revenue cycle, payer mix, and reporting obligations — including how your sliding-fee and grant-funded operations shape the numbers — before anything moves.
Migration
Your queues, contracts, and provider records move onto PracticeOS with no gap in billing or credentialing. Multi-site, multi-entity, and multi-payer from the ground up, so a center with several locations runs as one operation.
Dedicated ops team, SLAs in writing
A team works your credentialing, RCM, contracting, and value-based-care queues to defined service levels — an operator and a platform under one contract and one SLA, not software you have to staff.
Live in myMetolius
Your leadership sees the numbers that matter — refreshed in real time, in plain language — on a KPI dashboard built for the board conversation and the funder conversation alike. Typically live in weeks, not quarters.
What your operation feels like.
See what your health center recovers when operations run as one.
Backed by fifty years of combined enterprise depth — Continuant, a two-time Microsoft Partner of the Year that has served the world's largest health systems and insurers for three decades, and PPS — with 1,000+ clinics on the platform today.