INSURANCE CREDENTIALING & PROVIDER ENROLLMENT SERVICES
DON’T WASTE YOUR TIME IN THE MAZE OF CREDENTIALING
Don’t you have enough to deal with, why bang your head against a wall trying to figure out each payer’s credentialing process. Our experienced team of (US-based) credentialing experts can take your organization through the entire credentialing process without you ever losing sleep or even breaking a sweat.
Medical Credentialing Services
Credentialing, re-credentialing, provider updates, and data changes are incredibly important, yet burdensome responsibilities for medical offices. Time wasted on hold, trying to understand each insurance company’s processes is costly and time-consuming.
At Billing Advantage, our specialists take the stress and guesswork out of completing the credentialing process. By outsourcing to us, you’re guaranteed to have quality, up-to-date verification with just a few simple steps. Whether you’re a medical practice, a hospital, a surgery center, or a solo practitioner, we customize our credentialing and provider enrollment services to your specific needs.
What is covered under healthcare credentialing?
At AMBS, our credentialing a la carte services cover the following:
- Determining if you are qualified to apply for in-network status with numerous health insurance companies, HMOs and PPOs.
- Access the paperwork needed to apply.
- Fill-out online applications, such as CAQH, and apply to obtain an NPI.
- Follow-up and track your application status while supplying missing information as needed.
- Complete any re-credentialing paperwork as requested by insurance plans.
- Research your geographic area to determine the most common payers to apply to.
- Applications to insurance payers for individual providers or groups
- CAQH maintenance and updating
- Payspan, EFT, and Optumpay setup
- Changes and updates to address, phone numbers, and rosters
- Medicare re-validations
- Hospital Admitting Privileges
- DEA License
- State License
- NPI Creation
- and more
Credentialing Services for Providers You Can Trust
Medical credentialing and re-credentialing are unarguably the most effective ways to ensure your provider's information is accurate and up-to-date. Plus, they guarantee your affiliation with insurance plans, which in turn provides you with third-party reimbursement for your patient care.
To get started, all we need from you is to compile and fill out some paperwork. Then, you can leave the time-consuming tasks to us. It’s important to note that medical credentialing is a lengthy process. Depending on the insurance carrier, the enrollment process can take up to six months to fully complete.