Our Credentialing Services are designed to ensure that your practice is properly enrolled and credentialed with insurance carriers, allowing for optimal reimbursement and compliance.
- Provider Enrollment: We handle the enrollment process with insurance companies, ensuring that your providers are set up to begin receiving payments.
- Provider Credentialing: Our team manages the credentialing process to verify qualifications, ensuring compliance with payer requirements.
- Re-Credentialing: We assist with the re-credentialing process to keep your providers’ credentials current and avoid disruptions in reimbursements.
- Contract Review: We review contracts with insurance companies to ensure favorable terms and compliance with industry standards.
- Contract Negotiation: Our experts negotiate contracts on your behalf to secure the best possible terms and reimbursement rates.
- CAQH Maintenance: We maintain and update your CAQH profiles to ensure that all information is accurate and up-to-date.
- License Maintenance: We monitor and manage the renewal of provider licenses to ensure continued compliance with state regulations.
- Payer Enrollment: We manage the enrollment of providers with various payers to expand your practice’s insurance network.