


Healthcare Credentialing Services
We will assist Healthcare Providers and Healthcare Business Owners
of all specialties, in all states.


Our services include:
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Private insurance provider enrollment
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Medicaid enrollment
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Medicare enrollment
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HRSA enrollment for uninsured COVID-19 testing
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Application tracking and follow up
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Rejection and denial assistance
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Reapplication assistance if needed
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NPPES, CAQH, Availity and PECOS registration, update & management upon request
Cost of Services
$199
For credentialing applications per insurance company, per provider, including private payers, Medicaid, Medicare
$279
One time fee for NPPES, CAQH, Availity, PECOS and other insurance clearinghouse registration, update & management upon request

Credentialing Applications
Credentialing process takes up to 90-120 days or more
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If you are credentialed with a payer through another company or employer, some payers will allow you to update your profile by changing or adding new EIN's – This process is shorter and known as a demographic update. However this is not a guarantee for credentialing or for a faster process.
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New Applications - Some payers take up to 120 days or more depending on the process that they have in place
Credentialing Process
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Obtain all necessary documents and information that are required for credentialing
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Verification is done if provider has been credentialed before – This determines if a full or a demographic application is need.
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Applications are initiated within 72 hours after all required documentation and information is received
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3-4 weeks after submission we will call and verify that applications have been received, after this we contact the insurances and payers every 4 weeks until for confirmation and status updates
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Inform provider of updates on credentialing application status routinely
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Assist with denial/rejections
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Reapplication assistance as necessary
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Credentialing renewal and recertification upon request
Required Credentialing Documents
Not all documents will apply to every practitioner/provider/professional
Required Documents for each Provider/Practitioner/Professional :
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Professional License(s)
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Malpractice Insurance (Certificate of Insurance)
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DEA Certificate
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Board Certification(s)
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NPI Numbers
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Social Security Number
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Diploma - copy of highest level of education (M.D., D.O, MSN, BSN etc)
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Certificates of completion for all medical training (internship, residency, fellowship, courses, trainings)
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Current copy of CV (showing current employer and your business/practice and MM/YYYY on all education and experience)
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Completed IRS Form W-9 with signature
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Current Driver's License
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Login and passwords for NPPES, CAQH, PECOS, HRSA and/or Availity (if applicable)
Required Documents for each Business Entity:
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Business Registration/License from State (City/County Registrations if Applicable)
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IRS form CP575 or replacement letter 147C (verification of EIN)
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US Business Bank Letter and/or Voided Check
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Signed W-9 Form
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CLIA Waiver Certificate (if performing laboratory tests in your clinic)