Provider Credentialing Services
We understand that the provider credentialing process not only validates a physician’s qualifications but also holds the key to financial stability. Whether you’re starting a new practice, moving to a new group, joining a new organization, or just need to keep your credentials up to date, we can help.
Our Comprehensive Provider Credentialing Services
When you trust PrimeCare MBS, you get a dedicated partner who will work hard to streamline your processes, reduce denials, and keep you compliant. Our provider credentialing and enrollment services include:
- Credentialing Application: We help providers gather all necessary documentation and information required by payers, such as licenses, certifications, education records, malpractice insurance, and work history.
- Tracking and Analytics: Our team accurately tracks your every single credentialing application and provides valuable analytics.
- Payer Enrollment: We enroll healthcare providers in various payer networks, including Medicare, Medicaid, private insurance companies, and managed care organizations.
- Re-credentialing: We handle the re-credentialing process, which typically occurs every few years, to ensure that provider information remains up-to-date and in compliance with payer requirements.
- Claim Denials Resolution: In collaboration with the denial management team, we investigate and address claim denials stemming from credentialing issues.
- CAQH Profile Management: We update the Council for Affordable Quality Healthcare (CAQH) ProView profile along with the CAQH attestation process, application filling, and quarterly attestations.
Benefits of Our Provider Credentialing Services
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Expert Guidance
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Improved Cash Flow
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Reduced Paperwork
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Ongoing Support
To learn more about our provider credentialing and enrollment services, please call us, or fill out the inquiry form and see how we can help. We would be happy to answer any of your questions and provide you with a free quote.