Credentialing & Contracting

Credentialing and contracting are critical to ensuring compliance in all aspects of the process. They help you and your practice remain compliant with various governmental entities.

Credentialing & Contracting

To become a reliable healthcare practitioner or group, credentialing must be completed well ahead of claims submission. Many companies offer this service nationwide, but we are one of the finest, facilitating the entire credentialing and contracting process. Our credentialing experts successfully enroll both individual and group practices.

What We Offer

The Credentialing and Contracting Department offers the following major services:

Medicare & Medicaid Enrollment

Individual Enrollment

Re-Validation

Demographic Updates (Address, Ownership, New Location, Adding Provider to Practice, New Phone/Fax Number)

TIN & NPI Registration

Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) Setups

Group Enrollment

Reassignments

Renewal of Contracts

Negotiations on Out-of-Network Fee Schedules

Electronic Data Interchange (EDI) Setups with Multiple EMRs

CAQH Profile Updates

In-Network and Out-of-Network Contracts