Develop credentialing strategy based on the clients needs; make a very clear set of expectations of their end goal.

Collect all required data from physician/physician office. Once all items are received we review for accuracy and expirations. Load into management database.Review and update Providers' CAQH profile.

Initial outreach to payer networks to determine what is needed to move forward. Complete and audit applications then submit to payers. Verify receipt of application with payers 1 week after submission & obtain a tracking number if applicable. Follow up on status of credentialing/contracting on a regular basis to track status of applications.

Upon completion of credentialing/contracting process, obtain copies of executed agreements, welcome letters, provider IDs and effective dates. (60-120 days from date applications are submitted depending on network).

Once the credentialing process completes, our team will continue to manage all ongoing credentialing, database and contract maintenance.