Many health plans use credentialing data to indicate entry into their networks so approved physician can see their subscribers. Understanding how the process and requirements work is an absolute necessity for better performance.
Without proper enrollment, payments can be delayed, rejected, or not paid the contracted rate. Wrong information with a credentialing process leads to unpaid claims. We manage and maintain your provider credentialing applications and track those close to expiring, so they are always up-to-date.
Whether you’re adding a new provider to your staff, adding a new location, or want to ensure there are no holes in your existing providers’ ability to be paid, we make the process painless.