Our Services
Payer Enrollment Services
Don't let complex payer enrollment slow down your revenue cycle. Our healthcare payer enrollment service streamlines the process, getting you in-network and collecting reimbursements quicker.
State, Federal, and Managed Care Enrollment Services for delegated and non-delegated models
Here's how we help:
Effortless Network Expansion: Apply to numerous health plans, including Medicare & Medicaid, HMO, PPO, saving you time and resources.
Expert Guidance: Navigate the ever-changing requirements of different payers with our experienced team.
Faster Reimbursements: Get verified and credentialed efficiently to ensure timely payments.
Reduced Errors: Eliminate manual data entry and ensure accuracy with automated tools.
Peace of Mind: Our experts safeguards your sensitive provider information.
No practice is too big or small for our team. We work with physicians, nurse practitioners, physician assistants, therapists and facilities. Specializing in credentialing / provider enrollment for existing or new practice start ups.
Rosters & Effective Date Matrix
Unmatched Transparency:
We offer complete transparency throughout the process, empowering you to track progress and we will coordinate with your revenue cycle team to optimize efficiency in reimbursements.
Monthly Rosters: Gain real-time insights with our comprehensive monthly rosters. See exactly which payers each provider is enrolled with, at a glance.
Effective Date Matrixes: Stay on top of deadlines and reimbursements with our detailed effective date matrixes. Track the exact date each provider becomes in-network with each payer.
CAQH & Availity Maintenance
We take the hassle out of CAQH & Availity Maintenance with:
Automated Monitoring: We proactively track upcoming deadlines and renewal requirements.
Streamlined Updates: Easily submit any necessary updates to your profiles.
Expert Support: Our team of specialists is available to answer your questions and guide you through the process.
Reduced Risk of Errors: Minimize the chance of rejections due to inaccurate or incomplete information.
Our credentialing maintenance service is a great fit for organizations seeking help to maintain credentials and their status with the various insurance payers. This includes CAQH credentialing & maintenance, Medicare revalidations and commercial insurance re-credentialing.
Special Projects
Managing standard payer enrollment is just one piece of the puzzle. Complex projects like TIN consolidations, payer midstream follow-up, and network participation audits can create roadblocks in your revenue cycle.
This is where our specialized healthcare payer enrollment support comes in. We offer a team of experts dedicated to tackling these unique challenges:
TIN Consolidation: Streamline the complex process of consolidating Taxpayer Identification Numbers (TINs) across multiple payers, ensuring accurate and timely reimbursements.
Payer Midstream Follow-Up: We relentlessly pursue missing information or unresolved issues with payers, keeping your enrollment on track and avoiding delays.
Network Participation Audits: Face a network participation audit with confidence. We help you prepare and navigate the process, ensuring a smooth outcome.