Credentialing
Physician Credentialing Services
- Credentialing is extremely important to the financial health of a practice. Insurance companies pay faster, increases patient referrals, less claim denials, negotiable rates, networking opportunities, and much more. The credentialing process is approximately 90 days from when the application is submitted. Starting early is very important, each payer has its own internal timeline for the application process. Statistics show 85% of applications submitted by inexperienced personnel is missing critical information thus, delaying the credentialing process even more.
Our Experienced Staff Can Help With:
- Commercial Insurance Enrollment and Credentialing/In-Network Process With Payers Such As Aetna, Tri-care, Humana, United Healthcare, Cigna, Anthem Blue Cross, BCBS, Workers Compensation Carriers and Many More.
- Medicare and Medi-Cal Enrollment.
- Medicare Revalidation.
- CAQH Registration.
- NPI Application Registration.
- Contract Negotiation.
- Hospital Privileging.