SERVICES
Provider
Credentialing and Re-Credentialing
This service involves primary source verification, or verification of a provider's information (licensure, education, board certification) by contacting the primary source that possesses that information. Re-credentialing of providers typically takes place every two years following initial credentialing and entails verification of information that could have possibly changed within the previous two years.
Dynamic
Credentialing
This service involves primary source verification
of select portions of a provider's information. The client may
select what items they would like verified such as only education
or only licensure. It is a la carte credentialing.
Provider
Paneling
Services
This service includes researching provider panels
available; obtaining and managing the completion of required paperwork
such as contracts or applications; tracking the contracting,
paneling and credentialing process; and managing the provider
files. Paneling generally involves pre-populating the critical
documents for the provider's review and signature prior to the
submission to the insurance company and the ongoing maintenance
of those documents for the insurance company once the provider
has been approved.
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