Some practices/facilities lack expertise in this area because it is a function that is not performed with much regularity. The lack of the necessary tools to properly and pro-actively manage the credentialing process leads to reactionary measures that are enacted only when claims begin to deny due to non-participating and/or out of network issues.

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Credentialing is an essential part of healthcare and is highly regulated at the state, federal, and payer levels. Our credentialing programs comply with accrediting body standards.

 

Health systems continue to grow and consolidate, the demand for solutions that guarantees quick turnaround times, quality oversight, and compliance are now a requirement.

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We can help you get enrolled with insurance carrier's network so that you can provide quality service to patients who are covered by the carrier. Our tailored healthcare credentialing services will help you get reimbursed faster.

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Our professionals are adept at guidelines followed by many leading Medicare, Medicaid, and commercial insurance payers. We offer high-quality physician credentialing services that will help with the following:

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• Form preparation based on insurer guidelines

• Provider enrollment formalities and credentialing

• Tracking CLIA, CAQH, DEAs, NPI, and Medical Association Registration

• Re-credentialing support

• Form and document submission for faster approval

• Record and certificate verification

• Aggregation of document and certification details coupled with the preparation of application forms

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