Our practice start-up and physician credentialing services are used by organizations across the country with excellent results! We remove the burdens of credentialing and work to quickly and accurately credential your physicians and organizations with all of the necessary or requested commercial and government payors. We have worked with hundreds of practices & physicians and can successfully navigate through the credentialing process.
It is hard enough to practice medicine, but to deal with the insurance companies adds another level of complexity and aggravation to health care today. It is important that you have a partner in credentialing that has the experience and proven results to get you started on the right foot!
Payor Enrollment / Solo or Group Practice Start-Up Services - Our new practice start-up services can include all or parts of the following
NPI Registration - Type 2: Health care providers who are organizations, including physician groups, hospitals, nursing homes, and the corporation formed when an individual incorporates him/herself.
CAQH Credentialing - To learn more about CAQH, please visit this page: "Understanding CAQH"
Fast & Accurate Completion of all Applications for Commercial Insurance Companies
Medicare Enrollment for Group Practices and Individuals - To learn more about the Medicare enrollment process, please visit this page: "Understanding Medicare Credentialing"
Medicare EFT Enrollment for Individuals and Groups
ERA/EFT Set Up Assistance for Commercial Carriers
Tracking & Confirmation of all insurance contracts, PAR ID's & effective dates
Weekly or Bi-Weekly Status Reports
Prices based on the number of providers & plans
To start this process, we will require a list of details & documents from you. Please click on this link, download & print these forms: New Practice Start-Up Form
Timeline For Above Services -
The amount of time required to complete the credentialing process will vary based on practice location & the plan itself, but the average time is approximately 90-120 days. It is important to plan ahead and to start this process as soon as possible. Medicare will only backdate effective dates thirty (30) days from the date they receive an enrollment application & the effective dates for the commercial plans can vary.
Payor Enrollment / Adding a New Physician(s) to your existing practice - If you have hired a new provider(s) & need to get him/her credentialed & linked to your existing contracts, our services can include all or parts of the following:
CAQH Credentialing - To learn more about CAQH, please visit this page: "Understanding CAQH"
Fast & Accurate Completion of all Applications for Commercial Insurance Companies
Medicare Enrollment for Individuals & Reassignment to Group - To learn more about the Medicare enrollment process, please visit this page: "Understanding Medicare Credentialing"
Medical License Application Processing & Tracking
DEA Registration & Tracking
NPI Registration - Type 1: Health care providers who are individuals, including physicians, dentists, and all sole proprietors
PECOS - Adding your provider(s) to the PECOS system - To learn more about PECOS, please visit this page: "Understanding PECOS"
Tracking & Confirmation of all insurance contracts, PAR ID's & effective dates
Weekly or Bi-Weekly Status Reports
Prices based on the number of providers & plans
To start this process, we will require a list of details & documents from you. Please click on this link, download & print these forms: Adding A New Provider Checklist Form
Timeline For Above Services -
The amount of time required to complete the credentialing process will vary based on practice location & the plan itself, but the average time is approximately 90-120 days. It is important to plan ahead and to start this process as soon as possible. Medicare will only backdate effective dates thirty (30) days from the date they receive an enrollment application & the effective dates for the commercial plans can vary.
Maintenance & Recredentialing - Our maintenance and recredentialing service is a great fit for any practice that doesn't have the staff or expertise to handle the credentialing aspect of the practice. By selecting to use our Recredentialing services, we will ensure that all of your providers are properly recredentialed and maintained to prevent claim denials and ensure timely payments from insurers. Contact us for more information on this service to start saving your practice money and cut down on administrative costs.
CAQH Credentialing - If you are looking for assistance in obtaining a CAQH profile, let our industry experts set up your CAQH profile. We will obtain your unique CAQH ID and have your application completed in less than two weeks. The first step is to obtain a CAQH ID, which is issued by participating insurance companies. We can obtain a CAQH ID in less than 1 week in most cases because of the volume of applications that we process. Just download & print our simple CAQH credentialing form here: CAQH Credentialing Questionnaire Form