Payer Enrollment

From hospital systems to sole proprietorships, we handle the enrollment process with Medicare, Medicaid, private insurance, MCOs, and more. This also includes managing delegated credentialing, confirming recredentialing, Medicare, and Medicaid revalidations.

   Research & Verification

We conduct thorough research to verify provider network participation, confirm active enrollment status, and identify gaps that may be impacting revenue. Our team reviews payer directories, validates demographic data, and investigates discrepancies to ensure provider information is accurate and patients can locate the right provider for their needs.

   CAQH Provider Portal

Commercial payers and healthcare networks rely on CAQH for credentialing and recredentialing. We maintain and update this vital record on an as-needed basis to ensure that credentialing or recredentialing is as smooth as possible.

   Roster Reconciliation

CMS mandates that payer directories be kept up-to-date to ensure patient access to healthcare. Our team maintains a database of your providers' demographic information to ensure that this information is readily available when requested.