Credentialing Services

Includes audit of all providers to ensure they are contracted and credentialed with all current plans of the practice

If provider is not contracted, provider is added at no additional charge.

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.

Includes completion of all Medicare Advantage quarterly attestants.

Includes deletion of providers who have left the practice.

Including all payers requested by client and associated address locations.

Includes Medicare and Medicaid registration updating.

Client is provided with access to online portal that tracks progress of credentialing/contracting process.

Client is provided with written “Effective Date" confirmation from each payer when applicable.

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

Does not include hospital credentialing.

Hospital credentialing provided at additional $500 per hospital affiliation.

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

Including all payers requested by client and associated address locations.

Includes Medicare.

Includes review and completion of CAQH and NPPES.

Client is provided with access to online portal that tracks progress of credentialing/contracting process.

Client is provided with written “Effective Date" confirmation from each payer when applicable.

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

Does not include hospital credentialing Hospital credentialing provided at an additional $500 per hospital affiliation