Our Services

Credentialing

Credentialing is a tedious task that requires one to be extremely vigilant and persistent in order to get on board with commercial and public insurances. Healthcare professionals and businesses alike need someone credible to stay on top of the statutory and commercial requirements and a minor fault can lead to income delay. Broadly we break down credentialing in two types
– New Practice
– Existing Practice adding new payers.

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The general procedure for both types is same with minor differences, here is how it will unfold:

Documentation Gathering

We provide you a complete list of documents that must be made available in order to smoothly complete the process. We would also help you to attain any missing documents and provide a complete timeline for the whole process after viewing all documents.

Setting up Accounts

Once all required documents are in place, the credentialling process formally begins by creating accounts on multiple portals such as CASQ and PECOS, for existing businesses, accounts are checked and rechecked before moving forward. The accuracy and detail-oriented attitude while completing information in the initial forms determines the fluidity of the whole operation.

Waiting and Tracking

Although this might feel like an easy job, but being consistent is the key. Once the initial application is submitted, the insurances will take a somewhere between 45-90 days to process the application and might detect shortcomings in the application. A vigilant approach allows for swift resolution of errors, if determined, hence saving precious time.

Re-credentialing and Guidance

Once the whole process is completed and the medical provider is credentialled, keeping up with the statuary changes and fulfilling legal obligations of the contract in order to maintain the credentialling status would be challenging. Our expert would not only guide you about the regulations of each payer, we get you credentialled with, but we also keep track of any requirements the payer might have from time to time due to change of policy.