Professional Insurance Credentialing
We know what it takes to get you credentialed/contracted successfully. Regardless of your practice or provider type, we would be Honored to manage your payer enrollment and maintain your demographics from start to finish.
We’ll get you registered with NPPES for an NPI number and create a CAQH account when necessary. We’ll submit the payer enrollment applications to Medicaid, Medicare and other third-party insurance companies throughout the United States and keep you updated with consistent follow ups. We’ll even negotiate fee schedules and contracts when necessary.
After you’re paneled and in network, we can continue to serve you by maintaining demographics for your practice and providers, managing/submitting revalidations and maintaining CAQH profiles and attestations. We can also verify provider and group enrollment with payers as well as perform roster audits at a frequency level of your choice.
Working with Medical Insurance can be tedious and time consuming. We’ll take care of the tedious tasks, so you don’t have to, leaving you more time to treat your patients or even yourself!
OUR SERVICES
Save time by hiring an expert.
Insurance Credentialing & Contracting
Starting at $850 a panel
We’re Honored to submit the credentialing applications to get you paneled with the insurance companies of your choice.
We’ll follow the process from start to finish until your group and your providers are in network. We’ll even handle contract negotiations when they are needed.
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Application to Join the Insurance Network of your Choice
Contract negotiation or denial reversal request
Monthly application status follow-up
Copy of official contract or in network notification
Individual
Services
From NPI and CAQH registration and maintenance to EFT set up and coordination with your billing team for claim resubmissions, we’ve got you covered.
We’ll even submit revalidation applications and confirm your enrollment status with the payer for your group or providers once or on a continuous basis to ensure providers are not dropped from the network.
Starting at $135 an hour
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NPI Registration for Providers and Groups
CAQH Registration and Maintenance
EFT Set UP
Coordination with your Billing Team
Insurance Consultations
Group Enrollment Confirmation
Provider Roster Auditing and Enrollment Confirmation
Hourly Maintenance Services
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