Medical Credentialing Services
Improve Your Revenue by Getting In-Network Providers Credentialing Services
Healthcare professionals such as providers, hospitals, labs, ER centers, urgent care centers, who wish to bill insurances as providers in their network must go through a complex certification process with medical credentialing services.
Who Needs Credentialing Services
Payers can delay or refuse to pay unlicensed and unregistered doctors. This has a negative effect on the financial results of the clinic. You can avail our physician credentialing services in Newark, DE if you are or in need of:
- Starting or joining a new business
- Switching Practice groups
- Joining new groups
- Getting in-network with new plans
- Want to keep your credentialing up to date.
- CAQH attestation
- Re-credentialing
- PECOS and portal registration and maintenance
Our Medical Credentialing Process physician credentialing services includes
- Gather all the information and documents necessary to approve the doctor's request
- Centralized document storage in our secure document management system
- Understand the provider top payers and engage with payers
- Be careful with insurance specific payment methods after research
- Regular follow-up with each insurance to track application status
- Report status to providers
- Update documents library on regular basis
We take care of all your accreditation and registration needs. We will complete and process the application, send it to the insurances, we regularly follow up on each application to ensure that our clients get in-network on time.
Wise Medical Billing
WMB Credentialing and Enrollment Services includes:
Wise Medical Billing
New Registrations/Renewals of an Individual Provider
- With the State
- With the Drug Enforcement Agency (DEA)
- Provider Data Maintenance - Update Management on Payer Systems
- Provider demographic update in payers file. (Updates of Provider’s specialty or additional educational qualifications)
- Provider directory maintenance on payer websites. (Checking payer website and verifying provider details like Phone and Fax #, Zip code. Updating the correction to payers)
- EFT/ERA enrollments
- Contracting Creation and Maintenance
- New Group/Individual Practitioner contracts
- Adding / Deleting providers in the existing contract
- Adding/Deleting location in the current contract
- Adding / Deleting plan types (Line of Business) in the current contract
- Rate Negotiation
CAQH Attestation
Council for Affordable Quality Healthcare, Inc. eliminates redundant and inefficient administrative processes between health plans and providers for credentialing, directory maintenance, coordination of benefits, and other essential business functions.
- CAQH application filing
- CAQH quarterly attestations
- Expirations and Renewals
- The tracking expiry date for State DEA License, Board certificate, and Malpractice Insurance
- Tracking and Analytics
- Maintaining a repository of provider’s credentialing documents
- Maintaining Contracting agreements
- Tracking credentialing dates, expiration, and alerting dates to initiate credentialing processes
- Working with the denials team to understand if there are any claim denials due to credentialing issues
- PECOS and Portals Registration
- Help in creating PECOS accounts and all available insurances portal registrations.
Wise Medical Billing
Advantages of Using Our Credentialing Services Newark and Enrollment Services
We offer medical credentialing service as part of our fully assisted billing solution for physician credentialing at a very affordable fee, per insurance contract procedure and plan.
- Accurate and fast processing
- More patient referrals
- Reduce denials and improve cash flow
- Timely updates on Status of Credentialing applications
- Credentialing consultancy
- Considerable Savings on Credentialing
Let WMB medical credentialing services experts help you get through the complicated web of payer and insurer requirements today. Reach out to us to speak to our Experts.
1-(888) 816-6676
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