Medical Credentialing Services
Our comprehensive medical credentialing services streamline the complex process of provider enrollment with insurance companies and healthcare organizations. We handle the time-consuming paperwork and follow-up so you can focus on patient care while maximizing your revenue potential.
Our Medical Credentialing Process
- Provider Enrollment: Complete enrollment with Medicare, Medicaid, and commercial insurance payers.
- CAQH Profile Management: Creation and regular updates of CAQH ProView profiles.
- Credentialing Verification: Primary source verification of education, licenses, certifications, and work history.
- Hospital Privileges: Assistance with hospital privileging applications.
- Re-credentialing: Timely management of re-credentialing requirements.
- Credentialing Monitoring: Tracking application status and following up with payers.
- Roster Management: Maintaining accurate provider information with all payers.
- Credentialing Audit Support: Assistance with credentialing audits and reviews.
Benefits of Our Medical Credentialing Services
- Faster enrollment process with insurance panels
- Reduced administrative burden on practice staff
- Minimized credentialing errors and delays
- Increased revenue through expanded payer networks
- Regular updates to maintain compliance with payer requirements
- Comprehensive tracking and reporting of credentialing status