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Credentialing & Contracting

Credentialing and contracting are the basis of starting a clinic or healthcare facility. They also lay the root for your relationships with insurance companies as well as patients. For physician and organization reimbursement, it’s critical to have a designated, well-managed credentialing and re-credentialing service. And that is what you get with our team.

New Payer Credentialing & Credentialing Maintenance

  • Apply for all designated payers and follow-up until a determination by the payer
  • Update and maintain CAQH database
  • Update and maintain NPI database
  • Apply for re-credentialing when due by each payer
  • Medical License/DEA Registration/expirations
  • Change from one practice to another
  • Add a new physician to your existing group
  • Want to become a network provider

Documents Required

  • All state medical licenses
  • Drug Enforcement Agency Certificate
  • State Board of Pharmacy/Controlled Substance Certification (if applicable)
  • All educational diplomas
  • Board Certificate or Letter of Acceptance
  • Current Curriculum Vitae
  • Any other documentation required by the payer
  • Hospital Affiliations Letter
  • Bank information and voided check