Provider Credentialing Services

Simplify Your Provider Credentialing.

Credentialing is an essential part of the healthcare revenue cycle. We support healthcare providers through documentation, verification, payer follow-up, and provider data management.

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Provider Verified Credentialing workflow

Data Maintenance Continuous provider updates

Our Credentialing Services

Supporting Your Provider Credentialing Journey

Credentialing in medical billing is the process healthcare service providers undertake to become enrolled with insurance companies. It involves reviewing provider qualifications, verifying information, completing required documentation, and maintaining accurate provider records.

01 / INITIAL CREDENTIALING

New Provider Enrollment

Initial credentialing supports new healthcare professionals during the process of submitting applications and required documentation to insurance payers.

02 / RE-CREDENTIALING

Periodic Provider Verification

Re-credentialing involves periodically reviewing and verifying provider qualifications and maintaining current information with participating payers.

What We Handle

End-to-End Credentialing Support

From application evaluation to ongoing provider data maintenance, our services cover key stages of the credentialing workflow.

Application Evaluation

Complete required documentation, review applications, and identify exceptions or missing information that may require attention.

Primary Source Documentation

Verify practitioner and facility information using appropriate primary source documentation and supporting provider records.

Outbound Call Center

Provide outbound communication support for credentialing activities, information verification, and follow-up requirements.

Follow-Up with Payers

Follow up with insurance payers regarding applications, enrollment status, outstanding requirements, and credentialing updates.

Data Entry

Enter provider information accurately into credentialing systems and maintain organized records for processing and tracking.

Maintenance of Provider Data

Maintain current provider information and support ongoing updates to demographic, professional, and payer-related records.

Credentialing Workflow

From Application to Ongoing Maintenance

A structured approach helps keep provider information organized throughout the credentialing lifecycle.

Application

Review applications and gather required documentation.

Verification

Verify provider information and supporting credentials.

Maintenance

Maintain provider data and support ongoing updates.