Consultation & Support
1 / Needs assessment.
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Identify and discuss your needs and barriers to success
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Review the current credentialing and enrollment status
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Prioritize credentialing and enrollment needs and insurance companies
2 / Assistance and support.
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Provide ad-hoc assistance and support as you encounter issues or have questions related to credentialing and provider enrollment
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One-to-one guidance and resources provided to help you navigate your credentialing and provider enrollment needs
3 / Information and tools.
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Share best practices for completing credentialing and enrollment processes and forms
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Assist in creating structure to support organized activities and tracking mechanisms
Initial Credentialing and Provider Enrollment
1 / Getting set up.
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Registration with various credentialing and enrollment software applications
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Obtaining NPI #
2 / Application support.
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Assistance with completing initial credentialing applications
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Guidance on forms and required documents
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Software application assistance and support
3 / Follow-up and tracking.
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Providing follow up with health plans until credentialed
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Tracking of credentialing and enrollment information and specifics for your reference
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Review of contracts and guidance on next steps
Re-Credentialing & Provider Directory Management
1 / Re-credentialing.
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Completion of re-credentialing applications with enrolled health plans
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Support with completing needed provider or practice updates with enrolled health plans
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Ensuring continuous in-network status with insurance payers
2 / Provider directory management.
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Respond to provider directory maintenance requests
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Ensure provider and practice information accuracy in directories
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Completing re-attestations and re-validation requests as required by enrolled health plans
3 / Document maintenance.
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Ensuring required documents are updated upon expiration
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Assistance navigating and correcting credentialing issues
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Active monitoring of application statuses