“Good work ain’t cheap, Cheap work ain’t good”
Credentialing Pricing
New NPI application for individual provider
New NPI application for the group organization
Other NPI registry data updates
Creation of new CAQH profile with all personal and professional data
Monitoring and updating the Medical license, DEA and malpractice insurance etc.
Collection of other supporting documents and update
New practice/group info update with CAQH
CMS 855I application for individual providers
CMS 855R application for reassignment of benefits
CMS 855B application for clinic and group practices
Authorized Official request submission for group practices and facilities
Medicare EFT bank account updates
Calling CMS EUS Help Desk and application follow up
CMS I&A account creation and password reset
State Medicaid credentialing application
Credentialing file updates and re-credentialing
State Medicaid CMO plans credentialing
Application follow up and resubmission
Initial credentialing application comprehensive services
Request applications for each health plan
Pre-populate application
Follow up with the applications
Making changes to the provider file
Making changes to the clinic or group practice profile
Updating billing and payment address
Additional service location enrollment
Network termination
Calling health plans to check for direct deposit option
Initiating test deposit verification process to confirm bank account
Terminating paper check and enrolling in EFT
EFT bank account updates
Initial hospital credentialing application comprehensive services
New application request and follow up
Hospital re-credentialing application
Medicare re-credentialing and other enrollment records update whenever needed
Medicaid re-credentialing and other updates
Medicaid CMO re-credentialing
CAQH update and re-attestation for every 90 days
Monitoring CAQH for expirable documents like Medical license, DEA and malpractice insurance and update whenever needed
CAQH re-attestation depending on payer’s request.
Commercial payers re-credentialing
Acting on the documents received from the payers regarding any re-credentialing and other requirements whenever needed
Additional service location address update
Change of service location address
Billing and mailing address update
Phone and fax numbers update for both billing and practice
Provider termination from the clinic/group practice
Provider demographic data attestation with Availity, UHC Optum, Humana and other payers for every 3 months
Calling and re-follow up with the payers to get the update on the submitted applications until complete
Hospital reappointment application submission and followup.