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Contact Us 347-443-9636

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1515 Market Street

Suite 1200

Philadelphia, PA 19102

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Our credentialing services include:

  • Provider enrollment services for physicians and healthcare entities (credentialing and contracting with health plan

  • We guide your practice administrators and providers in gathering the required demographics and background information.

  • We submit the CAQH (Council for Affordable Quality Healthcare) application for providers who must use this service to credential with individual payers.

  • Once we have all the required documentation, we prepare and submit the required applications to the payer organizations.

  • We manage all-payer communications, verifications, and follow-up activity and tasks.

  • We work with you to ensure credentials are up-to-date year after year.

  • Medicare provider enrollment and re-validation services

  • Credentials verification for physicians and ancillary healthcare providers

  • Network management for health plans

  • Managed care contracting

  • Healthcare administration consulting services

  • Our staff will work with any insurance companies to get your practice providers enrolled with health plans and to maintain your providers credentialing files.

Benefits Of Our Program:

  • Keep all your credentialing information in one place.

  • Years of experience to navigate through the process of Medicare and Medicaid provider enrollment, Commercial Insurance Provider Enrollment, and other healthcare provider credentialing needs.

  • Status reports keep you up to date on the progress of your credentialing

  • You and your medical office staff can focus on more important patient matters than dealing with enrollment paperwork

  • Application collection services

  • Application completion

  • Data entry of paper applications

  • Ongoing monitoring services

  • Criminal background checks

  • Application mailing service

 

Features Of Our Program:

  • We make all the calls, follow-ups, & submit all applications, e-mails & faxes for you!

  • Dedicated Account Manager

  • 24/7/365 Availability

  • Provider Portal and Practice Manager Portal

  • Automated Alerts & Renewals

  • Secure Document Storage

  • Compliance Reports & Dashboard

  • Pay as you go model – no long term contracts – cancel anytime

Below is the list of Top Insurances We Enroll Your Agency into:

 

  • Medicare

  • Railroad Medicare

  • Medicaid

  • UHC

  • Cigna

  • Humana

  • BCBS

  • Aetna

  • Aetna Better health

  • MVP Healthcare

  • Harvard

  • Peach State

  • WellCare

  • Beacon Health option

  • Oscar

  • Molina Healthcare

  • Oxford

  • UMR

  • AARP

  • Multi plan

  • Freedom Health

  • AmeriHealth

  • Amerigroup

  • Emblem Health/GHI

  • -Health Net

  • Magellan

  • Veterans Affairs (VA)

  • Kaiser Permanente

  • Meritain

  • WellMed Medical Management, Inc

  • Tricare East/West

  • Tricare for Life

  • Fidelis care

  • MVP

  • GEHA

  • Tufts Health Plan

  • First Health network

  • QualCare Inc

  • Progressive

  • Mutual of Omaha

  • HHP

  • Capital Health Plan (CHP)