Credentialing done right, from the start.
Our approach is simple; Credentialing Data = Revenue. If you aren't credentialed correctly, you won't be paid correctly.
Credentialing done right, from the start.
Our approach is simple; Credentialing Data = Revenue. If you aren't credentialed correctly, you won't be paid correctly.
Your credentialing experts
We understand that physician credentialing is a critical part of the revenue cycle, and as a result, a critical component of the revenue that your organization collects. Our approach is simple; Credentialing Data = Revenue. If you aren't credentialed correctly, you won't be paid correctly.
Operating coast-to-coast and working with various types of payor and provider organizations, we have the expertise to help you maximize every dollar possible with our affordable and professional medical credentialing services. Whether you work at an academic medical center, health system, are a hospital employed provider, or large group practice, our deep experience working with credentialing departments across the United States ensures that you will receive the best credentialing solution for your organization.
End-to-end credentialing, expirables management and re-credentialing solutions for all third party insurance, governmental and CAQH payors.
Expirables management solutions to maintain all time-sensitive credentials.
Re-credentialing solutions for all third party insurance, governmental and CAQH payor’s.
Primary Source Verification (PSV).
Quality assurance teams focused on preventing credentialing application rejections.
Experienced account managers to manage every aspect of the credentialing process.
Assessments to identify improvement opportunities.
Initial credentialing and re-credentialing services
On-site/remote primary source documentation collection using our secure scanning solution.
Rapid data entry into our credentialing workflow software.
Comprehensive par/non-par analysis to identify which providers are par and non-par.
Missing elements review to ensure all proper documents required to enroll your physicians.
Application and signature page consolidation and management.
Use of UPS, FedEx and/or certified mail to track and trend mailed applications.
Dedicated application follow-up to ensure that are payor’s are actively processing your applications.
Extensive payor contacts to escalate processing issues.
Sophisticated reporting designed to track and trend all stages in the physician credentialing life cycle.
Compilation of all Provider Identification Numbers (PINs) for easy billing system entry.
Re-credentialing services
Conduct all re-credentialing services based on insurance plan requirements.
Application and signature page consolidation and management.
Use of UPS, FedEx and/or certified mail to track and trend mailed applications.
Dedicated application follow-up to ensure that are payor’s are actively processing your applications.
Expirables management services
Pro-actively monitor document expiration (e.g., license, DEA registration, board certification).
Conduct all ongoing CAQH re-attestations.
Expiring document report analysis to ensure advance notice that a document is soon to expire.
Respond to provider enrollment billing issues/edits.
Delegated credentialing management
Manage delegated credentialing rosters for all delegated payor’s.
Manage weekly/monthly roster submissions.
Special projects
Medicare re-validation services.
Group contract creation and enrollment.
TIN consolidation and enrollment.
Payor website analysis to ensure that your payor’s correctly list your provider data on their websites.
Practical pricing
With our affordable credentialing services, we’ll save you time and money.
— Lucy M.