Physicians Credentialing
Our Services
Consultation & Need Analysis
We meet with each practice or provider to identify the needs of the practice and outline the project.
- Identify known provider credentialing issues
- Define practice credentialing goals
- Outline Credentialing Service Timeline
Data Collection
We use a portal based system to securely collect and
organize provider data.
- Organize and share provider data
- Update necessary CAQH profiles
- Update necessary NPPES profiles
Payer Applications
We use a proprietary software to help gather and complete payer applications.
- Prepare payer credentialing applications
- Prepare payer enrollment applications
- Review data with provider
Payer Submission
We use an automated process to submit payer forms and necessary documentation to Medicare, Medicaid, and commercial payers.
- Submit Credentialing Applications
- Review Contracting
- Submit Provider Enrollment
Follow-Up
We track and report the progress of each credentialing task and provide updates to the practice.
- Follow up on all ongoing projects
- Provide regular practice updates
- Monitor Closed Networks
Ongoing Document Management
We update CAQH with renewed documents on behalf of the provider.
- Update & attest CAQH profiles
- Complete provider directory updates
- Maintain provider document database
Payer Recredentialing
We use an automated system to track expiration dates, avoiding costly network issues.
- Monitor contract expiration dates
- Respond to all ongoing payer requests
- Maintain network status
Consultation & Need Analysis
We meet with each practice or provider to identify the needs of the practice and outline the project.
- Identify known provider credentialing issues
- Define practice credentialing goals
- Outline Credentialing Service Timeline
Data Collection
We use a portal based system to securely collect and
organize provider data.
- Organize and share provider data
- Update necessary CAQH profiles
- Update necessary NPPES profiles
Payer Applications
We use a proprietary software to help gather and complete payer applications.
- Prepare payer credentialing applications
- Prepare payer enrollment applications
- Review data with provider
Payer Submission
We use an automated process to submit payer forms and necessary documentation to Medicare, Medicaid, and commercial payers.
- Submit Credentialing Applications
- Review Contracting
- Submit Provider Enrollment
Follow-Up
We track and report the progress of each credentialing task and provide updates to the practice.
- Follow up on all ongoing projects
- Provide regular practice updates
- Monitor Closed Networks
Ongoing Document Management
We update CAQH with renewed documents on behalf of the provider.
- Update & attest CAQH profiles
- Complete provider directory updates
- Maintain provider document database
Payer Recredentialing
We use an automated system to track expiration dates, avoiding costly network issues.
- Monitor contract expiration dates
- Respond to all ongoing payer requests
- Maintain network status
Request A Quote
- We work as a department of your practice
- We help reduce compliance & denial risks
- We help increase your practice revenue
- We help improve patient experience