Credentialing
Our experienced credentialing specialists utilize a state-of-the-art credentialing software and database, increasing efficiency and minimizing costly mistakes. Our comprehensive credentialing program provides the following services:
COMMERCIAL INSURANCE CREDENTIALING
- Complete and submit insurance applications
- Respond to additional requests from insurance
- Follow through until provider is granted approval
- Track next re-credentialing date
- Submit LOIs as needed on a per case basis
RE-CREDENTIALING APPLICATIONS
- Complete and submit re-credentialing applications
- Follow through completion of re-credentialing application and obtain new expiration date
CAQH
- Set up initial CAQH online credentialing application
- Provide quarterly maintenance and attestation
Government Credentialing Applications
- Process initial provider Medicare and Medicaid applications and re-assignments
- Process initial group Medical and Medicaid application
- Track and process group and individual revalidations
NPI
- Initial NPI setup
- Update NPI information for billing purposes
Hospital and Surgery Center Applications
- Submit initial hospital and/or surgery center applications
- Re-appointment tracking
Hospital and Surgery Center Re-appointments
- Complete reappointment applications and re-appointment tracking
Licensure Renewals
- Process medical, DEA and pharmacy license renewal
- Track CME for board compliance
- Track expirables
Initial Licensing
- Assist with medical, DEA and pharmacy licensure as requested
Liability Insurance
- Complete and submit liability insurance applications
ABOG
- Track ABOG expiration dates