Credentialing Expertise
We streamline the credentialing process for physicians and other healthcare providers, ensuring timely and accurate enrollment with insurance companies. Our credentialing experts have a deep understanding of the requirements of each insurance company.
Specialized Knowledge and Experience:
Our team has years of experience in credentialing, working with a variety of clients, including hospitals, physician practices, and ambulatory surgery centers. We have a deep understanding of the unique credentialing needs of each clinical setting.
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Capabilities
Provider Credentialing & Enrollment
Ensuring healthcare providers are properly credentialed with insurance networks to facilitate seamless billing and reimbursements.
Managing credentialing processes in compliance with state, federal, and payer regulations to avoid delays and denials.
Ongoing Maintenance & Re-Credentialing
Handling provider re-credentialing, updates, and compliance tracking to keep credentials active and up to date.
Frequently Asked Questions
Credentialing is the process of verifying a provider’s qualifications, experience, and compliance with healthcare regulations. It ensures they are eligible to work with insurance payers and receive reimbursements.
The process typically takes 60–90 days, but it may vary depending on the insurance payer, provider type, and completeness of submitted documents.
Without proper credentialing, providers may face claim denials, reimbursement delays, and potential legal or compliance issues with payers.
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