Physician Credentialing
Physician Credentialing
Physician Credentialing involves the comprehensive verification and assessment of a medical practitioner’s qualifications to ensure their ability to deliver medical services. These credentials encompass documented evidence of education, licensure, training, experience, and other qualifications. Failure to undergo proper enrollment can lead to delays or denials in insurance payments, even when the physician is fully capable and their services are medically necessary. Neglecting or overlooking the credentialing process may result in significant financial losses. Rely on the expertise of Supra Mediinformatics to guide you through the complex process of provider enrollment and national medical credentialing services at an affordable cost.
Our Credentialing
Process:
1. Data collection
Gather all necessary data and documentation from physicians to complete credentialing applications.
2. Documentation
Verify the data provided by physicians and securely store the associated documents.
3. Application to payer
Identify primary payers and submit the application in the payer-specific format.
4. Follow up
Regularly check with the payer to monitor the status of the application.
5. Ensure enrollment
Acquire the enrollment number from the payer and inform the physician of the application's status.
6. Re-credentialing
Regularly refresh the documents library for credentialing needs.
Why Supra Mediinformatics for Credentialing Services??
Our meticulous credentialing services offer the following advantages:
- Swift credentialing with major payers.
- Enhanced cash flow by minimizing claim denials.
- Increased patient referrals within the network.
- Efficient document management system to eliminate paperwork hassles.
- Assistance in completing complex application forms.
- Cost-effective credentialing process with global delivery teams.Timely monitoring of application status for prompt reporting.
We simplify and streamline the credentialing process, saving you time. Our payer enrollment and credentialing services come with extensive experience in:
Commercial Insurance such as:
- Aetna
- Cigna
- Anthem
- Blue Cross Blue Shield (BCBS)
- TriCare
- Humana
- UnitedHealthcare
- Oxford
- Many More…
Governmental Payer Such As:
- Medicare
- Medicare Part B
- Railroad Medicare
- Medicaid
Initial Registration and Re-validation:
- PECOS
- CAQH Registration
- NPI Registration
Physician Credentialing Experience
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