Credentialing & Enrollment Services
Our enrollment specialists have the skills and expertise to keep your facility and providers in compliance with all contracted payers.
Receive Payments Sooner
Credentialing and Enrollment Service is a key tool for avoiding late claim submissions, exceeding filing limits, wasting time, and losing money. Our knowledgeable staff oversees the credentialing process and assists you with provider registration and credentialing. Medicure MSO is knowledgeable with insurance coverage. We can assist you in joining an insurance carrier’s network, allowing you to provide outstanding service to the company’s insured patients. Our specialized healthcare credentialing services will help you get compensated faster.
Improve Performance
You may have a team of expert physicians with the necessary qualifications and licenses, but without enrollment, you may face the risk of financial difficulties. You must complete primary source verification to enroll with payers, switch practice, or add new physicians to existing groups in order to improve the performance of your practice. You must outsource provider enrollment services to specialists like us if you don’t have the knowledge to handle the physician credentialing procedure.
An annoying distraction
Physicians and other healthcare providers, such as a hospital, counseling offices, a chiropractor, a dentist, physical therapists, an occupational therapists, an optometrist’s offices, an urgent care centers, a treatment centers, and others, must go through a rigorous credentialing procedure in order to bill an insurance company as an in-network provider. Medical credentialing can be an annoying distraction from providing high-quality patient care, but it doesn’t have to be. That’s something we’ll take care of for you!
Expert Assistance is Crucial
Our Credentialing & Enrollment teams are dedicated to offering cost-effective solutions to insurance enrollment, contract negotiations, Medicare/Medicaid enrollment, and physician credentialing challenges. New provider credentialing, CAQH credentialing, hospital credentialing, contracting, and enrollment maintenance services are just a few of the things we can assist you with. Insurance enrollment may be a difficult task, and if done incorrectly, it can have a significant impact on a practice’s cash flow. This is why having expert assistance is imperative.
Our Medical Credentialing Services include
- Credentialing specializing in all the states
- Data gathering & CAQH Enrollment
- Application submission & Payer communication
- Medicare revalidations and Yearly maintenance
- Re-Credentialing and Demographic updates
Services We Offer
Credentialing and Re-credentialing
Credentialing services for new providers and practices. Add additional providers/locations to health plans for existing practices.
Dedicated Team
As required by health care providers, a team completes the credentialing data and submits it to commercial insurances, Medicare, and Medicaid.
Compliance
Our Credentialing Services guarantee that the National Committee for Quality Assurance (NCQA) and the Department of Health and Family Services regulations are followed (DHFS).
Essential Follow-Ups
Our medical billing and credentialing services guarantee that all follow-ups are performed effectively, resulting in a seamless enrollment process.
Portal Registrations
Creation, maintenance and updating of CAQH & PECOS credentialing portals
Data Integrity & Contracting Issues
We use audits to address contracting issues and secure data integrity.
Streamline Your Medical Billing
Our experts handle complex billing & ensure timely claims. Focus on your patients, we’ll handle the rest.