Provider Credentialing
Provider credentialing, the process of getting a physician or a provider affiliated with payers.
Most health insurance companies require this process including C.M.S/Medicare, Medicaid, and Commercial plans, as well as hospitals and surgery centers.
However, the process of getting a provider credentialed with a payer involves a lot of manual work in terms of completing the application forms, providing clarifications to questions from payers and following up with them to close the credentialing request.Â
Our team can handle new enrollments, CAQH updates, Medicare re-validation, re-credentialing with commercial plans and much more.Â
Let us be your healthcare credentialing partner and help you maintaining your credentialing.
Our Company
Our Services
- Provider Credentialing
- Patient Appointment Scheduling
- Patient Eligibility Verification
- Medical Coding
- Pre-Authorizations & Referral Management
- Demographic, Charge Entry & Submission
- Accounts Receivable Follow-up
- Denials & Appeals Management
- Payment Posting
- Patient Statements & Balance Billing
- Advanced Analytics & Reporting
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