Provider Csao
Provider CSAO is a privately held Clinical Services Administrative Organization founded in 2022 that contracts with medical payers on behalf of retail pharmacies, specialty pharmacies, and insurance carriers to enable pharmacist billing for clinical services.
- Company typePrivate
- Founded2022
- HeadquartersFort Worth, United States
- Headcount1–10
- GTM typeB2B
- OfferingServices
What Provider Csao does
Provider CSAO, INC is a Clinical Services Administrative Organization (CSAO) founded in 2022 and headquartered in Fort Worth, Texas. The company provides end-to-end credentialing, contracting, and ongoing management services that enable pharmacies to bill commercial medical payers and Medicare Advantage plans for clinical services such as vaccines, diabetic education, E&M codes, smoking cessation, MTMs, and FENO testing. Positioned as the first CSAO in the market, Provider CSAO differentiates from traditional Pharmacy Services Administrative Organizations (PSAOs) by focusing on service-based reimbursement rather than drug-dispensing reimbursement, addressing what the company describes as a "reimbursement disconnect" between the clinical value pharmacists deliver and the compensation they receive. Co-CEOs Preston Cranford and Will Burnson lead the company alongside Chief Financial Advisor Nathan Shanor and Chief Technology Advisor Carlos Aguilar.
The core service stack comprises Contracting & Credentialing, Payer Negotiations, and Contract Renewals & Management, supplemented by add-on modules covering EDI enrollment setup with medical billers, collaborative practice agreement (CPA) preparation, and clinical documentation assistance. A notable proprietary asset is the SOP Tracker, a state-by-state legislative monitoring tool covering pharmacist scope-of-practice laws across all 50 states and updated monthly. The company maintains three distinct go-to-market tracks: a Retail Pharmacy Network for independent and chain pharmacies, a Specialty Pharmacy Services track for high-dollar specialty medication billing, and a Payer Partnership Network that contracts directly with insurance carriers for group credentialing and value-based care programs.
Provider CSAO operates a privately held, bootstrapped business model with 1-10 employees, no disclosed funding rounds, and undisclosed pricing. Its go-to-market is sales-led, with direct engagement through website contact forms, phone (302-648-CSAO), and email, supplemented by content marketing via a blog covering DIR fees, E&M codes, FENO testing, DSME services, and legislative updates. The company reports an average credentialing timeline of 90 days (with first billing within 60 days), claims up to a 600% vaccine revenue uplift for pharmacies switching from pharmacy to medical benefit billing, and cites a 4.5% reduction in per-beneficiary-per-month costs for payers running value-based programs through community pharmacies.
Provider Csao firmographics
Firmographics- Name
- Provider Csao
- Legal name
- Provider CSAO, INC
- Website
- https://providercsao.com
- Company type
- Private
- Founded year
- 2022
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Provider CSAO is a privately held Clinical Services Administrative Organization founded in 2022 that contracts with medical payers on behalf of retail pharmacies, specialty pharmacies, and insurance carriers to enable pharmacist billing for clinical services.
- Ownership category
- akta.pro rank
Provider Csao industry classification
Industry- Product category
- Pharmacy Credentialing & Contracting Services
- NAICS
- Other Scientific and Technical Consulting Services (54169)
- SIC
- Services-Management Services (8741)
- akta.pro primary industry
- Provider Network, Credentialing & Contracting Support (BPAAAFAI)
Keywords
Where Provider Csao is headquartered
LocationHeadquarters
- HQ city
- Fort Worth
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Provider Csao business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D
Revenue model
- Credentialing & Contracting Services: Provider CSAO provides end-to-end credentialing and contracting services for pharmacies seeking to bill commercial medical payers. They handle the complex process of contracting with medical benefit insurance payers, negotiating reimbursements, and managing ongoing contract renewals on behalf of their pharmacy network members.
Go-to-market motion2 records
Distribution channels2 records
Marketing channels6 records
Provider Csao product offering
Product offeringCore offering
Provider CSAO is a Clinical Services Administrative Organization (CSAO) that handles credentialing, contracting, and payer negotiations for pharmacies so they can become in-network providers with commercial medical payers and Medicare Advantage plans. The company manages the full lifecycle of payer relationships including contracting, negotiating reimbursement rates, ongoing renewals, EDI enrollment with medical billers, collaborative practice agreement preparation, and clinical documentation support.
Product overview
Provider CSAO is a Clinical Services Administrative Organization (CSAO) founded in 2022 that provides end-to-end contracting and credentialing services for pharmacies seeking to bill commercial medical payers and Medicare Advantage plans. The core offering consists of Contracting & Credentialing services, Payer Negotiations, and Contract Renewals & Management, which together enable pharmacists to become in-network providers and receive reimbursement for clinical services on the medical benefit. The company supplements these with consulting services including EDI Enrollments & Medical Billers setup, CPA Prep & Best Practices guidance, and Clinical Documentation Assistance. Provider CSAO also offers an SOP Tracker tool for monitoring state-level pharmacist scope of practice legislation. The company operates distinct service tracks for Retail Pharmacies and Specialty Pharmacies, while also maintaining a Payer Partnership Network that connects pharmacies with insurance carriers seeking to expand clinical service access.
Differentiator
Problem solved
Functional benefit
Products and services
- Contracting & Credentialing Provider CSAO's primary service that helps pharmacies become in-network with commercial medical payers and Medicare Advantage plans, enabling pharmacists to bill for clinical services on the medical benefit rather than just the pharmacy benefit.
- Payer Negotiations Negotiates with medical payers on behalf of network pharmacies to ensure highest possible reimbursement rates for clinical services such as vaccines, diabetic education, and consultative services.
- Contract Renewals & Management Maintains, manages, and renews payer contracts on behalf of pharmacies, allowing pharmacists to focus on patient care without worrying about administrative contract upkeep.
- EDI Enrollments & Medical Billers Consulting Assists pharmacies with setting up EDI enrollments across multiple payers and coordinates with medical billers to manage the complex setup process, saving pharmacies time and administrative burden.
- CPA Prep & Best Practices Guides pharmacies through establishing collaborative practice agreements (CPAs) and provides approved templates for various CPA-based clinical services.
- Clinical Documentation Assistance Provides guidance on new billing claims documentation and clinical documentation practices as pharmacy moves toward a clinical service model, offering ongoing support throughout the partnership.
- SOP Tracker A legislation tracking tool that monitors pharmacist scope of practice legislation across all 50 states, helping pharmacists stay informed about state-specific regulations affecting their clinical service capabilities.
Quantifiable outcome
- Up to 600% increase in vaccine revenue for pharmacies switching from pharmacy benefit to medical benefit billing
- +2 more outcomes
Companies that use Provider Csao
Customer profileNamed customers1 record
Segments3 records
Ideal customer profiles3 records
Provider Csao technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
Provider Csao partnerships and signals
Strategic signalScale indicators7 records
Recent moves5 records
Expansion highlights5 records
Provider Csao competitors and assessment
Company assessmentBroad incumbents
- Cencora (formerly AmerisourceBergen): Pharmaceutical distribution and services company with pharmacy services administrative offerings and specialty pharmacy capabilities; comparable incumbent in the pharmacy-payer services space and natural candidate to enter medical-benefit credentialing.
- Surescripts: Operates the dominant clinical health information network connecting pharmacies, prescribers, and payers, including benefit routing and clinical messaging. A broader incumbent whose pharmacy-payer connectivity overlaps with Provider CSAO's credentialing and contracting network.
- McKesson: Distribution and healthcare-services giant with established PSAO operations and pharmacy services subsidiaries (including CoverMyMeds and RxCrossroads). Has the scale and existing pharmacy/payer relationships to potentially extend medical-benefit credentialing into its portfolio.
- Cardinal Health: Major pharmaceutical distributor with established pharmacy services administrative (PSAO) operations serving independent pharmacies; relevant incumbent that could expand medical-benefit credentialing as an extension of its existing pharmacy services.
Direct peers
- PBA Health: Member-owned pharmacy services organization serving independent pharmacies with contracting, reimbursement support, and clinical service enablement — directly comparable to Provider CSAO's role as a services administrative organization for community pharmacies.
- CoverMyMeds: Now part of McKesson, CoverMyMeds helps pharmacies and prescribers navigate prior authorization and reimbursement with payers, including patient-services and medical-benefit workflows. Operates in the same space of getting pharmacies paid for clinical services beyond dispensing.
- CPESN USA: Community Pharmacy Enhanced Services Network organizes independent pharmacies into clinically integrated networks and contracts with payers and ACOs for value-based clinical services — the closest analog to Provider CSAO's payer-pharmacy network model. Both monetize pharmacist clinical services by bridging pharmacies with medical payers.
- Inmar Group: Provides pharmacy services including pharmaceutical returns, audit management, claims processing, and reimbursement consulting to retail and specialty pharmacies. Comparable in supporting pharmacies with the operational and reimbursement machinery around payer relationships.
- PAAS National: Pharmacy audit and reimbursement support service that helps independent pharmacies maximize payer reimbursement, handle audits, and recover revenue from third-party claims — directly comparable in helping pharmacies capture more reimbursement from medical and pharmacy benefit programs.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks6 records
Key highlights7 records
Customer concentration
Provider Csao social profiles
Digital presenceProvider Csao financial estimates
Financial estimateRevenue estimate
Valuation estimate
Provider Csao leadership team
Management profileNumber of profiles
Profiles4 records
Provider Csao funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Provider Csao M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Provider Csao
What does Provider Csao do?
Provider CSAO is a Clinical Services Administrative Organization (CSAO) that handles credentialing, contracting, and payer negotiations for pharmacies so they can become in-network providers with commercial medical payers and Medicare Advantage plans. The company manages the full lifecycle of payer relationships including contracting, negotiating reimbursement rates, ongoing renewals, EDI enrollment with medical billers, collaborative practice agreement preparation, and clinical documentation support.
Is Provider Csao a public or private company?
Provider Csao is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Provider Csao founded?
Provider Csao was founded in 2022. It employs 1 to 10 people.
Where is Provider Csao based?
Provider Csao is headquartered in Fort Worth, United States, in the North America region.
How does Provider Csao make money?
One revenue line is on record: credentialing & Contracting Services.
Who are Provider Csao's main competitors?
Broad incumbents on record are Cencora (formerly AmerisourceBergen), Surescripts, McKesson and Cardinal Health. Direct peers are PBA Health, CoverMyMeds, CPESN USA, Inmar Group and PAAS National.
Does Provider Csao have an API?
No public API is recorded for Provider Csao.
What industry is Provider Csao in?
Provider Csao's product category is Pharmacy Credentialing & Contracting Services. Its primary akta.pro industry code is BPAAAFAI, Provider Network, Credentialing & Contracting Support. Its NAICS code is 54169 and its SIC code is 8741.