Credentialing Service

  • New Provider, Group and/or Facility enrollments
  • Handling all re-credentialing and maintenance issues with all commercial payers
  • Maintain credentialing documents and contracts for Facility, Group and/or Providers
  • Physician and Facility re-credentialing management and manage contract renewals
  • Ensuring Physician and Facility information is accurate and up-to-date with insurance companies
  • Revalidations of insurances (Medicare, Medicaid etc.)
  • Re-attestation and Maintenance of CAQH on schedule
  • Expiration Date Maintenance – Provide alerts of malpractice and insurance license expiration dates
  • Ensuring Facility and physicians meet State requirements