Credentialing Services

Credentialing and Payor Enrollment

Our team of specialists understand the insurance process and what it means to your bottom line. Over the years, we have established relationships with many payor representatives across the nation, which allows us to cut out the guesswork from the provider enrollment process. When you choose to outsource, you can check credentialing off your list and rest assured the job will be done correctly.
We provide credentialing consultation to identify your specific goals and create a plan to fit your needs. Our specialists communicate regular credentialing status updates to you and your billing staff. We are readily available via phone or email to answer any questions you may have.

Examples of Provider Specialties we frequently work with:

• Orthopedics 
• Cardiology 
• Primary Care
• Physical Therapy
• Occupational Therapy
• Speech Therapy
• Ophthalmology/Optometry
• Mental Health/Addiction Medicine
• Dental/Oral Surgery 
• Dermatology 
• Pediatrics
• Chiropractic
• OB/Gynecology 
• Pain Medicine 
• DME Suppliers 
• Laboratories

Services Provided

We offer a variety of services and solutions to assist with office workflow efficiency. Typical services offered:

• Individual and group credentialing, contracting and recredentialing
• Facility credentialing and recredentialing—ASC’s, RHC’s, FQHC’s, Hospitals, Laboratories, Diagnostic Imaging Centers, Sleep Labs, DME Suppliers, etc.
• Hospital privilege appointment and reappointment applications
• Enrollment with commercial insurance plans, third party payers, workers compensation, government insurance plans (Medicare/PECOS, Medicaid, Managed Care Organizations, etc.)
• State license applications
• Assist with professional liability insurance applications
• CAQH initial enrollment and quarterly re‐attestations
• Address changes and banking updates
• Adding new providers to established groups
• Expirables management (i.e. DEA and License Renewals)
• CME/CEU tracking
• Provider participation auditing with insurance plans
• Initial Medicare or Medicaid EHR enrollment
• Electronic Funds Transfer (EFT) enrollments
• CLIA applications
• Quarterly payor directory updates