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The following process is followed as part of our physician credentialing services:

  • Preparation of paper CMS 855 & other Managed Care applications for all Payor.
  • Preparation and submission of Online applications to federal and non-government carriers.
  • New provider affiliations and Group Contracts
  • Maintain and Update specific Provider information directly with carriers at frequent intervals or when requested.
  • Resolve enrolment issues and track Managed Care contracts
  • Validate information provided by Payors
  • Handling Provider letter of interest & enrolment transactions
  • Setting of Provider information in the Practice System
  • Obtaining Contracted fee schedules and negotiating changes
  • Preparation of contracting documents for scanning and Long-term storage electronically.
  • Prepare, maintain and monitor Managed Care Summaries that Provides Effective details dates, Fee Schedule and Group affiliation.
  • Monitoring Expiry dates for NYS-Registrations, DEAs, and CLIA registrations and also handling re-applications for the same.
  • Handling Re-Credentialing whenever required.

We ensure that your credentialing application gets the attention it deserves with our physician credentialing services.