Trusted expertise to get you credentialed and enrolled, quickly and accurately
We gather and verify all necessary information about the provider, ensuring accuracy and completeness. Our team sets up your credentialing and enrollment process, tailoring it to your unique needs.
We prepare and submit credentialing applications to payers, adhering to their specific requirements. Our experts ensure all necessary documents are included, reducing delays.
We facilitate payer enrollment and contracting, negotiating fair rates and terms. Our team ensures you're properly set up with each payer, streamlining claims processing.
We continuously monitor and update your credentialing and enrollment information, ensuring compliance with changing regulations and payer requirements. Our team keeps your practice running smoothly.
We proactively follow up with payers, resolving any issues or delays. Our experts provide ongoing support, answering questions and addressing concerns, so you can focus on patient care.
Provider credentialing is the process of verifying a healthcare provider’s qualifications, including education, training, licensure, and work history. It is essential for enrolling with insurance payers, maintaining compliance, and ensuring timely reimbursements.
The credentialing timeline varies by payer but typically takes between 60 to 120 days. Delays can occur due to missing documents or payer backlogs, but our team works to expedite the process whenever possible.
While you can see patients, you may not be able to bill insurance companies for reimbursement until your credentialing and enrollment are approved. Some payers allow retroactive billing, but this varies by insurer.
Yes, each insurance company has its own credentialing and enrollment process. However, we streamline the process by managing all applications and ensuring compliance with each payer’s requirements.
Most insurance payers require re-credentialing every 2 to 3 years. We monitor expiration dates and handle re-credentialing to prevent lapses in your network participation.
It only takes 2 minutes to complete
It only takes 2 minutes to complete
Trusted Financial Management for Your Practice.
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