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.
What Services We offer for Credentialing ?
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
