Most practices treat credentialing, licensing, contracting, and compliance as a onetime checklist, just transactional steps & boxes to tick.
I’ve never approached this work that way. Transactional based credentialing gets you submitted.
Relationship based credentialing gives you confidence. Your clinic is an ongoing story that evolves and grows just like the payer portals.
Keeping your contracts, attestations & EFTs up to date requires consistent practice maintenance just like your patient’s medical care.
A recurring quarterly service that keeps your enrollments and payer portals compliant for Recredentialing maintenance and Insurance Administrative service Includes Availity dashboard profile verification Attestations -Core PDM & Directory, Availity- FL Blue guide well provider data management attestations, United health Care provider verifications, Optum Admin/EFT, Payspan Admin/EFT, Humana initial & Annual orientation training requirements, Zelis Admin EFT, Medicaid Portal PW, CAQH attestations & maintenance.
All re-credentialing, Revalidation and maintenance issues up to 12 Payers Medicare, AHCA, Medicaid, BCBS, Cigna, United Health Care, Tricare certification, Aetna, Humana, Claritev (Multiplan) & 2 of your personal choice. Per provider Per EIN.
Most practices treat credentialing, licensing, contracting, and compliance as a onetime checklist, just transactional steps & boxes to tick.
I’ve never approached this work that way. Transactional based credentialing gets you submitted.
Relationship based credentialing gives you confidence. Your clinic is an ongoing story that evolves and grows just like the payer portals.
Keeping your contracts, attestations & EFTs up to date requires consistent practice maintenance just like your patient’s medical care.
A recurring quarterly service that keeps your enrollments and payer portals compliant for Recredentialing maintenance and Insurance Administrative service Includes Availity dashboard profile verification Attestations -Core PDM & Directory, Availity- FL Blue guide well provider data management attestations, United health Care provider verifications, Optum Admin/EFT, Payspan Admin/EFT, Humana initial & Annual orientation training requirements, Zelis Admin EFT, Medicaid Portal PW, CAQH attestations & maintenance.
All re-credentialing, Revalidation and maintenance issues up to 12 Payers Medicare, AHCA, Medicaid, BCBS, Cigna, United Health Care, Tricare certification, Aetna, Humana, Claritev (Multiplan) & 2 of your personal choice. Per provider Per EIN.
Designed for active clinics with existing payer contracts
