• New practice setup in all states.
• Complete data verification with insurances including Effective Date,
Provider ID, Line of Business etc.
• Credentialing of Behavioral, Medical, Tele-Health, Multi-specialty Group, Lab, Urgent Care Centers, Ambulatory Surgical Center..
• Credentialing of all mid‐levels (PA, NP, ARNP) and MD's.
• Adding additional providers and mid‐levels to a current practice.
• Obtain NPI Type 1 and Type 2.
• Re‐attestation and Maintenance of CAQH Proview and documents
maintenance.
• I&A, NPPES, PECOS, Availity, CAQH Enroll‐Hub and Pay‐Span accounts creation & maintenance.
• Re‐validation/Re‐credentialing of all payers.
• EDI, ERA, EFT, Clearing House and Software setup through SFTP.
• Demographic changes/updates.
• Contract Re‐Negotiation.
• Personalize provider representatives of each insurance with contact details for any concern.
• Strong follow up with insurance carriers.
• Maintaining Credentialing Grid with participating status of each insurance.
• Getting timely approvals for all credentialing requests of Medicare, Medicaid & Commercial Payers.