Credentialing Services

Audit of all providers to ensure they are contracted and credentialed with all current plans of the practice.

Includes initial audit of provider CAQH file, completion of CAQH file, and maintenance of CAQH file.

Access to our proprietary credentialing status tool showing up-to-date-in-network payer status.

Tracking of provider documents and their expirations including medical license, liability insurance, and DEAs.

The client is provided with access to an online portal that tracks the progress of credentialing/contracting process.

Includes assistance with provider disputes due to loading/credentialing errors by the payers.

Does not include hospital credentialing. Hospital credentialing is provided at an additional cost.

Includes assisting provider with obtaining License, DEA and registration with Medicaid.

Includes Medicare.

Includes review and completion of CAQH and NPPES.

The client is provided with access to an online portal that tracks the progress of credentialing/contracting process.