CREDENTIALING SERVI
Medical credentialing is the essential first step in ensuring your healthcare practice is in-network with the insurance providers that serve your patients. This process plays a critical role in your practice's cash flow and financial success. Our credentialing experts have years of experience working with insurance companies to get your practice credentialed quickly and affordably.
Streamlined Credentialing for Providers
Credentialing can be a complex and time-consuming task for healthcare providers and their staff. If done incorrectly, it can become a major challenge. Our experienced team simplifies the process, ensuring that all paperwork is completed accurately and on time. The sooner your providers are credentialed, the faster you can start seeing patients and generating revenue.
We understand that medical providers often have many questions about the credentialing process. For a detailed overview of our approach, please refer to our blog post, Medical Credentialing (On-Boarding Process).
Re-Credentialing Services
Once your practice is credentialed with an insurance carrier, it's essential to maintain accurate and up-to-date information to ensure continued participation in networks. Our re-credentialing team works diligently to keep your practice's information current. We collaborate with you and the Coalition for Affordable Quality Healthcare (CAQH) to manage and update your provider details, ensuring uninterrupted cash flow and workflow.
CAQH and Credentialing
The Coalition for Affordable Quality Healthcare (CAQH) is a critical component of the credentialing process. Without a CAQH profile and accurate, up-to-date information, insurance companies will not accept or maintain your credentialing status. Insurance providers rely on this universal portal to manage provider data, and our credentialing experts are here to help you navigate CAQH to ensure your status remains active and compliant.
CAQH ProView Form: We'll create your account and ensure your profile is set up correctly to facilitate credentialing.
NPI (National Provider Identifier)
The National Provider Identifier (NPI) is a unique 10-digit number assigned to every healthcare provider in the United States. It's required for billing medical claims and credentialing with insurance companies. Our dedicated team helps you obtain and maintain your NPI number, ensuring it's connected to your practice's EIN for credentialing purposes. Whether you're an individual provider, a group practice, or a facility, we can assist you in setting up the appropriate NPI numbers for your specific practice type.
Let us handle the credentialing process so you can focus on providing exceptional care to your patients