CREDENTIALING


$200 per provider per payer enrollment


Credentialing is the process of review and verification of the information of a health care provider who is interested in participating with Various Insurances in their County.


Review and verification includes: current professional license(s), current Drug Enforcement Administration and Controlled Drug Substance Certificates, verification of education, post-graduate training, hospital staff privileges and levels of liability insurance.


The process begins with requesting Credentialing Application Kits from all the commercial and government health Insurances.


After submitting the signed applications we follow-up with the payers to retrieve the Provider or Group ID # confirming that the doctor is participating with the insurance. We also give bi-weekly status updates to the provider until an effective date of enrollment is determined so the provider can begin claim submission.




New Credentialing Services:


  • - Completion of Credentialing Applications with Various Health Plans & Follow-Up Until Credentialed
  • - Review of Contracts
  • - Assistance Obtaining CAQH ID
  • - Assistance Obtaining NPI #

Credentialing Maintenance Services:


  • - Completion of Re-credentialing Applications with Various Health Plans
  • - Medicare Re-Validation
  • - CAQH Re-Attestations
  • - Expirables Management
  • - Assistance with Denied Claims Due To Credentialing Issues
 
 

Contact Us


Contact Person : Margarita Pile

Address


Address Address Address

Matrix Health Solution

Our strategy is to build productivity through the use of technology, highly trained personal who deliver results in a timely fashion, and customized consulting services. With resources composed of 52+ employees nationwide and 350+ back office employees overseas.

Copyright © MatrixHealth Solution. All rights reserved | Design by Young World Group