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Identify Your Target Payers
Find the best insurance plans for your practice and check network availability.
Network Research
We ensure the most varied, popular and effective in-network Payer mix for your group or practice.With extensive experience in enrolling physicians with Medicare, Medicaid, and Private Payers nationwide, our team reaches out to each shortlisted Payer that you want to enroll with and gets accurate timelines and open panel availability.
Comprehensive. Strategic. Effective.
Application Filing
We send you a complete checklist of all the information and documents required to file the applications.As soon as the details are received, our Enrollment team files the appropriate contract applications, making sure it’s a flawless submission in the first go. Owed to our extensive experience and first-time correct application submissions, our clients experience the shortest turn around time in getting a contract.
Accurate. Timely. Hassle-free.
Application Follow Up
Our team follows up on the submitted application fortnightly, to ensure that the application has been receivedand is in the Payer’s system, that no additional information is being requested and everything is smooth. We follow-up regularly until the contract comes through and is delivered to your physical location.
Proactive. Regular. Reliable.
Out-of-Network Enrollments
For providers that are forced to stay out of network due to closed panels or who choose to stay out-of-networkwith certain Payers, our team helps them with out-of-network enrollments and NPI registrations on the Payer’s website.This ensures the medical practice is in the Payer's system and can start receiving out-of-network payments.
Optimized Out-of-Network Billing.
Demographic Changes
We help with all basic and complex demographic changes, such as updating a new TAX ID with all Payers in your Payer mix, updating a new address, bank account, etc. We also help set-up all ERA and EFT enrollments.
100% Payer Sync & Accuracy Rate.
Annual Credentialing Maintenance
For healthcare facilities with multiple providers, accurate provider database management is pivotal. We manage and maintain the credentials for all your providers and physicians on our credentialing portal. A comprehensive and transparent tool that is HIPAA compliant and specifically designed to ensure the upkeep of your database with utmost efficiency.
100% HIPAA-Compliant & Always Up-to-Date.
PECOS and CAQH set-up and Maintenance
Up-to-date PECOS and CAQH profiles are a necessity in today’s healthcare environment. All major Payers are going the CAQH route to extract provider documents and credentials. We set up, maintain, and regularly attest your CAQH and PECOS profiles to keep them 100% compliant and active.
100% Compliant & Attested.
