Let our experts remove the headache of filling out provider credentialing paperwork by cutting through all the red tape for you. Our automation technology auto–populates credentialing forms and our experienced staff ensures your submitted application gets processed. (Credentialing Process) Simply review the documentation and sign (if required) for submission.
The credentialing process involves verifying a provider’s background and qualifications for providing health services. Payers require verification of a provider’s education, experience, training, certification, and more. This process is complex, time-consuming, and exhausting. Taking this all on yourself costs time and attention away from your practice operations and your patients. With CredentialingOne, we do all the work! Our credentialing services are done by industry experts with the knowledge and technology to alert you every step of the way.
Credentialing & Recredentialing
Hospitals & Large Healthcare Providers
Facility credentialing can be a difficult process. To be credentialed as a facility requires numerous requirements and standards. Facilities should begin 120 days prior to when they wish to accept payments from payers.
A practice, group, or facility must have all providers’ and locations’ NPIs credentialed and contracted with payers. It is not unusual for a practice without a credentialing program to fail to add any new locations or plans to their existing agreements. These types of omissions will result in denied claims and lost revenue.
We will prevent these issues by obtaining a Type 2 NPI for your locations and completing all required applications and demographic changes for your payers.
We also can enroll a FQHC facility and a provider with insurance companies (Medicare, Medicaid, Tricare and Commercial plans such as UHC, Humana and Aetna) for maximum reimbursement.
We Can Help:
Medical Doctors | Nurse Practitioners | Hospitals | Large Healthcare Providers | Physician Assistants | Dentists | and More!
PREVENT THESE CREDENTIALING MISTAKES
CredentialingOne can help you avoid these and other errors that lead to denials and underpayments:
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