If you have tried to negotiate rate increases with an insurance company, chances are you are familiar with some common excuses for your request being denied. After recieving the initial denial, most physicians get discouraged and give up, which is exactly what insurance companies want you to do. Even the most persistent physicians will recieve multiple rejections unless they know how to effectively communicate their proposals for rate increases to insurance companies. Outside factors may limit what you can change, but your actions can increase what you receive.