Streamline the process of enrolling providers with payors
When a provider is hired, obviously both they and their employer want them to be billable as rapidly as possible. It is anything but straightforward. Each provider must submit an application to each health plan using their specific process. These requirements can vary widely and sometimes require a unique credentialing application, a state standardized application or CAQH. Once the application arrives at the health insurance company, they have their own comprehensive verification process which ensures the provider in question meets all of their requirements. Once the insurer has performed due diligence, they will issue a letter of participation.
What lies at the bottom of all of this elaborate protocol is the need for your credentialing company to know exactly what every insurer expects. 1ˢᵗ Credentialing takes the responsibility for getting it right every time. We understand the time is of the essence, that the enrollment processes can be lengthy, and a swift sure hand is needed to be in control of the process. This is why we are in business and we take it very seriously.