Provider Credentialing and Enrollment Services
Provider credentialing is the process of getting a physician or a provider associated with payers, is a critical step in the revenue cycle. It enables the provider to get reimbursed for the medical services provided to patient, it is important for healthcare providers to get enrolled and credentialed with maximum payers so that patients can use their insurance policy in the practice
Effective Credentialing Services are the absolute necessity for good practice. Without proper enrolment, payments can be delayed or refused by the insurances, even if the physician is able to provide services that are competent and medically necessary.
- Completing Application with required documentation
- Verifying practitioner/ facility information from physicians.
- Obtain missing documents and updating to insurance carriers.
- Follow-up on submitted Applications
- Updating provider information as per policies and procedures, and CAHQ profile.
- Updating contracts with payers
Out team will contact payers to determine if they have the correct provider information on file before we submit claims
We ensure the provider's pay-to address or the billing address
Our team can enroll providers for four types of electronic transactions:
• Electronic Data Interchange (EDI)
• Electronic Remittance Advice (ERA)
• Electronic Fund Transfer (EFT) and
• Corporate Spending Innovations (CSI)
Documentation
Collect documentation and validate, Catalog and store.
Payer Submission
Identify top payers and file the application in payer-specific format
Ensure Enrollment
Timely follow-up of applications and obtain the enrollment
Updates & Credentialing
Periodic updates of the payer documents for recredentialing
REVENUE CYCLE SERVICES
Book Appointment
Quick Contact
- Address 1501 Hill Lockwood DR, McKinney, TX 75072.
- Email letspartner@columbushcs.com
- Phone +1 858 208 4005