Comprehensive Credentialing Services
Our commitment extends beyond mere administrative tasks; we strive to empower healthcare providers to navigate the intricacies of the healthcare system and maximize their revenue potential.
Medicare and Medicaid Enrollment
We assist providers in navigating the enrollment process for Medicare and Medicaid, the nation's largest healthcare programs. This ensures access to a broader patient population while maintaining full compliance with program requirements.
Commercial Insurance Credentialing
We facilitate enrollment in a wide range of private insurance networks, including major carriers such as Aetna, Cigna, Humana, UnitedHealthcare, and others. This strategic approach maximizes reimbursement rates and expands patient access.
National Provider Identifier (NPI) Management:
We assist both individual providers (Type 1) and organizations (Type 2) in obtaining and maintaining their NPI, a critical identifier for healthcare billing, reporting, and electronic transactions.
CAQH Registration and Maintenance
We streamline the credentialing process by registering and maintaining provider profiles within the CAQH database, ensuring accurate and up-to-date information is readily available to participating health plans.
Revalidation/Re-Credentialing
We provide comprehensive revalidation/re-credentialing services to ensure that provider credentials remain current, minimizing disruptions to practice operations and maintaining compliance with evolving regulatory requirements.
DMEPOS Enrollment
For providers offering Durable Medical Equipment (DME), we facilitate enrollment in the Medicare DMEPOS program, enabling them to provide essential medical supplies to patients and receive appropriate reimbursement.