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MEDICAL CREDENTIALING SERVICES

Escape from the burdens, stacks of paperwork, and confusion associated with insurance companies. ClaimsCareMD serves as covert credentialing experts, diligently navigating the challenging provider credentialing process. ClaimsCareMD offers unparalleled credentialing services to providers at competitive rates, including primary source verification. We advocate for physicians and specialties simultaneously.

Whether you require credentialing for insurance networks such as Medicare, Medicaid, or commercial payors, we expedite the vetting process, ensuring prompt reimbursement. Our services cater to organizations of all sizes and specialties, ensuring efficient updates for both individuals and medical groups.

Why credentialing matters?

Credentialing is crucial as it instills patient confidence in their chosen healthcare professionals. It ensures providers undergo thorough vetting of their education, qualifications, work history, and legal compliance before joining a payer network. Similarly, before affiliating with organizations, hospitals, or surgery centers, providers' credentials undergo meticulous verification.

Enrollment, often discussed alongside credentialing, involves applying to insurance networks for inclusion in their provider panels.

CREDENTIALING TIPS
ClaimsCare MD

Credentialing-Workflow

List of Provider Credentialing Services

  • Doctor and Healthcare Entity Credentialing Services
  • Medicare Provider Re-approval Services
  • Verification of Credentials for Physicians and Allied Healthcare Providers
  • Health Plan System Management
  • Outsourced Hospital Privileging
  • Managed Care Contracting
  • Healthcare Organization Consulting

How Does it Work?

The medical credentialing process occurs biennially.

  • Complete a provider credentialing application.
  • Submit the application to the credentialing entity.
  • Maintain regular follow-ups with them.
  • Supply any additional documents if requested.
  • Liaise with insurance networks and hospitals on your behalf.

What We Do for You?

  • Saves you months of time and effort.
  • Reduces the stress caused by extensive paperwork and applications.
  • Boosts patient referrals.
  • Accelerates payment processing by insurance companies.
  • Provides a dedicated project manager for your venture.
  • Handles all telephone calls, follow-ups, application submissions, messages, and emails.
  • Offers round-the-clock access to online project portals.
  • Provides a cost-competitive advantage to support the growth of your practice.
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