PROVIDER ENROLLMENTS

CREDENTIALING

The Process of Primary Source Verification of Provider Certification is Called Credentialing, the Process is also named as provider enrollments & Physician Credentialing.

Telemedicine

why it's so Important?

  • Strengthen the provider & patient relationship
  • More revenue for in-network providers
  • Enhances the reputation of provider
  • Provides protection against possible law suits
  • without Proper Credentialing, There is No Revenue Cycle
  • You will not be able to welcome each patient if you are not credentialed with each insurance
  • Only Proper & timely credentialing can guarantee healthy cash flows

fEW COMMON

CREDENTIALING MISTAKES

 

HOW WE ARE DIFFERENT

 

SPECIALTIES COVERED

PROVIDER ENROLLMENTS

PROCESS FLOW

 

WE HANDLE BUT NOT LIMITED TO

CREDENTIALING TYPES

 

INSURANCES WE COVER

Federal Plans like Medicare, Medicaid, Tricare, etc.

National Plans such as Aetna, Cigna, BCBS, UHC, Humana etc.

Managed Care Plans , All State wise plans

HOW DOES IT WORK

1-Contact

Simply explain what you want & leave your contact details. We will get back to you at our earliest.

2 - Information

After reviewing your query, we will get back to you as soon as possible to have clear idea regarding your requirements as well as we will help you to prepare specific documents required to complete the application.

2 - Submission

On your Go Ahead call, Our expert will update and submit the application to related departments.

Dedicated Manger will follow up with all verification resources as well as keep you posted regarding updates.

 

COMMON QUESTIONS

The standard time frame for application process is 30-120 business days, Some insurances even take more than 120 days and some process applications within 45 days.

Yes & No.

It depends on your specialty, Patient volume, and state you are Practicing in but it is always recommended to get into Medicare before applying for other insurances.

Yes, we will send follow up reports once every 14 business days to keep you updated.

For application process you should have following documents.

  • State License
  • Malpractice certificate
  • DEA certificate
  • Resume
  • Board certificate
  • IRS letter (EIN letter)
  • Business Voided Check
  • General Liability insurance
  • Educational and Professional history
  • Article of Incorporation in case of business

No, 95% of the Insurances do not charge any fee from providers.

No you will have to wait for Credentialing & Contracting Approvals to start accepting patients.

It depends on multiple factors such as your Specialty, The state you are practicing in and the Insurances you are applying for.

We can help you get your individual or business NPI within 24 hours for FREE of Cost.

Yes you will either get an approval letter via Mail or an email from the health plan stating you are approved.

WE LOVE TO HELP

Leave your question & contact. We will get back to you at earliest.

Medical billing

AFFORDABLE FEE

Get Following Covered for Only $ 299 per Month per Provider

  • Life time support
  • No approval, No Fee
  • Get Credentialed with as many insurances as you want
  • NPI registration & Maintenance
  • CAQH Registration & Maintenance
  • Medicare & Medicaid Enrollment
  • Credentialing & Re-Credentialing with Commercial and HMOs.
  • Contracting & Negotiations
  • Direct Deposit Setups to avoid extra workload.
  • Demographic Updates.
  • Quarterly Directory Verification

Contact

1309 Coffeen Avenue, STE 12, Sheridan, WY 82801

1-716-919-3969

Support@Rxcredentialing.com

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