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Credentialing
Provider Credentialing & Payer Enrollment
Going in-network starts with credentialing, and the paperwork is slow and easy to get wrong. We handle it for you, from the first application to keeping your enrollments current.
What's included:
• Checking which plans in your area credential your provider type
• Setting up and maintaining your CAQH profile
• Commercial insurance and Medicaid enrollment applications
• Facility enrollment for birth centers
• Follow-up with payers until each application is decided
• Tracking recredentialing dates, licenses and expirations
Credentialing can take several months, and some plans don't credential every provider type. We'll tell you up front which plans are realistic for your practice. Approval decisions are made by each payer.
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