✪ PROVIDER CREDENTIALING & ENROLLMENT SERVICES
One minute dreaming, Next minute serving patients
Our fast provider credentialing service helps healthcare practitioners obtain the credentials to compliantly practice their passion in their chosen locality across the USA.
Portfolio highlights*
Your dream hospital job, just a credential away!
The ideal hospital job for a doctor means fair pay and privileges. Our hospital credentialing service eases a provider’s access to their selected hospitals across the USA.
Fast onboarding at hospitals in any of the 50 USA states.
Practice freely with full admitting and procedure privileges.
Get help completing the hospital credentialing applications.
Get enrolled into high-value payor networks
Providers want fair pay, We make it happen.
Dr. J Smith
Family Physician
Dr. M Johnson
MD
Get your CAQH ticket for in-network access!
Let us help you get CAQH credentialed. Our experts fill applications, create profiles, and ensure insurance panels notice you in the CAQH community.
CAQH credentialing services*
We get you your CAQH ID straight from the source.
We refine your CAQH profile based on your unique credentials.
We keep your profile optimized for all insurers on board.
Get consistent support throughout the entire CAQH credentialing process.
Because even temporary work deserves a real pay!
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Why choose our Credentialing service?
Smooth flow of reimbursements
Our credentialing experts make sure providers get the proper authorizations to bill insurers. With the right credentials in place, reimbursements flow smoothly.
Earn the trust and recognition
Compliance keeps providers in business. We ensure accreditation with all the watchdogs - Joint Commission, NCQA, CMS.
Management made easy
From first application to license renewal, we own the credentialing process start to finish. No detail escapes our attention, no deadline is missed.
Unlock exciting opportunities
Compliance keeps providers in business. We ensure accreditation with all the watchdogs - Joint Commission, NCQA, CMS.
PROVIDER CREDENTIALING
Turning healthcare dreams into licensed realities
because we realize your noble healing quest!
For Physicians
Our provider credentialing service enables doctors to treat patients and collect payments from insurance at a fast pace. With precision and care, we make sure there are no slip-ups that could cost physicians penalties or access. This paves the doctor's way to top-tier insurance plans and a more patient audience.
CMS Credentialing
We simplify Medicare enrollment for providers and suppliers. First, we prepare providers for standards and conditions. Next, our experts file the PECOS application on the provider's behalf. You can expect no surprises or hang ups along the way. Before long, the provider can send bills to Medicare and get reimbursed.
For Ancillary Providers and Facilities
Our team assists ancillary providers and facilities get credentialed and enrolled in health insurance networks. We will prepare detailed requests and supporting documents to ensure that you are verified. We aim to help you connect with systems that drive more referrals and reimbursements your way.
For Locums
We make it easy for locum tenens to get credentialed. Our experts guide locums through submitting license, privilege, and malpractice insurance applications. Once verified, locums can readily accept assignments across specialties and locations. It's a win-win – locums gain experience and extra pay while facilities fill gaps.
Dr. J Smith
Family Physician
Dr. M Johnson
MD
PROVIDER ENROLLMENT
Meet every local law, satisfy every regulation.
State lines shouldn’t limit your practice, it’s what we believe!
Get Enrolled with Government Payors
A physician can't care for patients on government insurance until they're enrolled to receive reimbursement. We make the process smooth by submitting all the right paperwork - NPI number, medical licenses, credentials - so docs are approved for Medicare, Medicaid, Tricare, VA coverage. Patients get care, practices get paid.
Get Enrolled with Commercial Payors
Assisting doctors hook up with major medical insurers is our forte. We lead providers through the applications and paperwork mandated by United, Aetna, the Blues, Humana – all have unique demands. It's bespoke, matching each doc or clinic to what every payer requires. When part of the network, practitioners can get reimbursement for services from these commercial plans.
Enrollment by Region
The location you hang your shingle comes with specific enrollment needs. To ensure providers meet all local requirements, we offer tailored enrollment services based on location. By using our region-specific services, providers can properly enroll and legally care for patients in their desired areas.
CONTRACTS & APPLICATIONS
We've Got Your Back on CAQH, Contracts & Recredentialing
because we realize your noble healing quest!
CAQH Application Support
We lend a hand finalizing and submitting credentialing applications on CAQH Proview. With providers registered in that universal credentialing catalog, they can broadcast their credentials to multiple payers and entities to gain their accreditation. We also make sure all's shipshape to sidestep rejections and revv up the CAQH credentialing process.
Payer Contract Negotiation
We are advocates for caregivers; negotiating with insurance overlords so doctors, nurses and clinics receive the fair rates they deserve. We pore over contracts to identify where providers have been shortchanged and also speak with payers to remedy the imbalances. This helps healers get squarely paid for their tireless toil.
Recredentialing & Revalidation
Credentials are not forever. To continue seeing patients under a given health plan, providers must renew on schedule. We make it easy, handling the whole recredentialing process for them. With up-to-date paperwork in place, doctors avoid falling out of compliance or losing access to reimbursements.
Dr. J Smith
Family Physician
Dr. M Johnson
MD
Benefits of our Credentialing Service
One-on-One Expert Support
Fast Credentialing Approval
Ongoing Monitoring and Updates
The best credentialing service that connects Healing Hands to the Paying Plans
We’re with you all the way. Our experts guide you through every step of credentialing. Ask anything. We’re here to answer and help you understand it all.
