8 (Medical Credentialing) Details, which Differentiate Us from Our Competition

8 Points that Differentiate our Medical Credentialing Service

1. Primary source verification: we are alerted to any changes in the providers license, credentialing, DEA, CAQH, NPPES etc., the same day it is changed in their systems. This is usually weeks before the facility or provider is even aware anything has changed. This allows us to alert you and the provider of any credentialing, licensing, certifications, and board expiration’s that come up in a timely manner so we can correct them and keep your providers and facility in full compliance.
2. We are able to tailor credentialing applications to the insurance companies specifications so that there is little to no denials.
3. We have electronic signature capabilities on all credentialing applications that can be sent directly to the provider through secure email. We are also able to provide each on-boarded provider with their own credentialing secure email if your facility would like.
4. Most everything that we do is electronic, which will eliminate most, if not all, need for paper forms or paper signature requests.
5. Provider /Facility and its managing employees would have access to our secure software platform for you to view and print any and all provider information, licenses etc., that you may need to keep on file.
6. We can provide you reporting on when applications have been sent, viewed by the provider, signed by the provider, accepted by the insurance company. We keep track of every email, signature, view, acceptance, denial, and more. All communication is auto-documented and made available for you and your staff to see. Transparency and communication are very important to us.
7. We are able to integrate with CAQH so there are timely automatic updates as soon as the primary source verification has also been updated. A Comprehensive Guide to Registering with CAQH.
8. We are available to speak with you 6 days a week. Monday through Saturday.