The process involves the following steps:
Completing required documentation and identifying exceptions.
Verify practitioner/ facility information from physicians.
Obtain missing documents and updating the payer's database.
Follow-up on submitted credentialing requests
Capture data, label, and link images to specific providers/ facilities in the payer's database.
Update provider information as per policies and procedures, and CAHQ profile.
Our Provider Enrollment services enable practices to get enrolled for the services they provide by ensuring that payers have the data they need to process claims for the services you provide. We constantly monitor the payers to ensure applications are received and processed on time. We work diligently to identify and resolve potential administrative issues before they impact your provider reimbursements.
Contact payers to determine if they have the correct provider information on file before we submit claims
Validate and update the provider's pay-to address or the billing address
Our team can enroll providers for four types of electronic transactions:
A group of highly skilled team members trained to perform research and analysis on the possible processor functionality gaps.