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Contact Us 347-443-9636
OR
Visit us at
1515 Market Street
Suite 1200
Philadelphia, PA 19102
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Our credentialing services include:
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Provider enrollment services for physicians and healthcare entities (credentialing and contracting with health plan
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We guide your practice administrators and providers in gathering the required demographics and background information.
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We submit the CAQH (Council for Affordable Quality Healthcare) application for providers who must use this service to credential with individual payers.
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Once we have all the required documentation, we prepare and submit the required applications to the payer organizations.
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We manage all-payer communications, verifications, and follow-up activity and tasks.
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We work with you to ensure credentials are up-to-date year after year.
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Medicare provider enrollment and re-validation services
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Credentials verification for physicians and ancillary healthcare providers
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Network management for health plans
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Managed care contracting
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Healthcare administration consulting services
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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:
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Keep all your credentialing information in one place.
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Years of experience to navigate through the process of Medicare and Medicaid provider enrollment, Commercial Insurance Provider Enrollment, and other healthcare provider credentialing needs.
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Status reports keep you up to date on the progress of your credentialing
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You and your medical office staff can focus on more important patient matters than dealing with enrollment paperwork
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Application collection services
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Application completion
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Data entry of paper applications
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Ongoing monitoring services
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Criminal background checks
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Application mailing service
Features Of Our Program:
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We make all the calls, follow-ups, & submit all applications, e-mails & faxes for you!
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Dedicated Account Manager
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24/7/365 Availability
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Provider Portal and Practice Manager Portal
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Automated Alerts & Renewals
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Secure Document Storage
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Compliance Reports & Dashboard
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Pay as you go model – no long term contracts – cancel anytime
Below is the list of Top Insurances We Enroll Your Agency into:
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Medicare
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Railroad Medicare
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Medicaid
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UHC
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Cigna
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Humana
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BCBS
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Aetna
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Aetna Better health
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MVP Healthcare
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Harvard
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Peach State
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WellCare
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Beacon Health option
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Oscar
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Molina Healthcare
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Oxford
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UMR
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AARP
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Multi plan
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Freedom Health
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AmeriHealth
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Amerigroup
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Emblem Health/GHI
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-Health Net
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Magellan
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Veterans Affairs (VA)
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Kaiser Permanente
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Meritain
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WellMed Medical Management, Inc
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Tricare East/West
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Tricare for Life
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Fidelis care
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MVP
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GEHA
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Tufts Health Plan
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First Health network
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QualCare Inc
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Progressive
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Mutual of Omaha
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HHP
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Capital Health Plan (CHP)