Utilize Provider Credentialing Solutions to Stay Ahead
Your Credentialing Journey Simplified
Paperwork Streamlining: Bid farewell to chaotic and complicated paperwork. We’re here to organize and streamline everything for you.
Dedicated Follow-up: Our dedicated team ensures timely follow-ups on your applications, ensuring no undue delays.
Regular Application Status Updates: We believe in keeping you in the loop. With periodic updates, you’ll always be informed about the status of your application.
Provider Enrollment: Assisting healthcare providers in enrolling with insurance companies and government programs, such as Medicare and Medicaid.
Vital Elements of Provider Credentialing:
Our team is proficient in enrolling providers across a spectrum of electronic transactions to enhance efficiency and streamline financial transactions. These include:
- Electronic Data Interchange (EDI)
- Electronic Remittance Advice (ERA)
- Electronic Fund Transfer (EFT)
Process Monitoring and Analysis
We boast a dedicated group of highly trained professionals, proficient in research and analysis, committed to identifying and addressing any potential gaps in processor functionality.
Universal Checklist Implementation: We establish a universal checklist for each provider that acts as a foundational step, ensuring no detail is overlooked.
Employment History Verification: We delve into the provider’s professional background, verifying employment history to understand their career trajectory comprehensively.
Primary Source Verification: Our process includes an exhaustive verification of essential credentials directly from the primary sources. This encompasses:
- DEA (Drug Enforcement Administration) registrations
- State Medical Licenses
- Educational Qualifications
- Malpractice Insurance Details
- NPPEs (National Practitioner Data Bank) verification
- Board Certifications and other pertinent certifications
Payer Application Completion: Our team meticulously completes the payer application, ensuring that all necessary information is provided accurately and comprehensively.
- Application Assistance
- Verification of Credentials
- Follow-up and Tracking
- Primary Source Verification
- CAQH Registration
- Document Management
- Compliance with Standards
- Provider Network Participation
- Insurance Contract Management
- License and Certification Maintenance
- Data Reporting
- Ongoing Support & Maintenance