Claims Submitted | Verification| Reimbursements|

Claims Submitted | Verification| Reimbursements| 

  ☆    CREDENTIALING & ENROLLMENT SERVICES

Streamlined Credentialing Services for Healthcare Providers

We handle the complexities of provider enrollment, license verification, and compliance, so you can focus on delivering top-quality care. Count on us for timely, accurate credentialing that keeps your practice running smoothly and maximizes reimbursements.

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Why choose our Credentialing service?

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Smooth flow of reimbursements

Our credentialing specialists ensure providers obtain the necessary authorizations to bill insurers. With accurate credentials secured, reimbursements process seamlessly.

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Management made easy

From first application to license renewal, we own the credentialing process start to finish. No detail escapes our attention, no deadline is missed.

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Compliance is essential for providers' success. We guarantee adherence to standards set by the Joint Commission, NCQA, and CMS.

Earn the trust and recognition

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Compliance is vital for providers' operations. We ensure full accreditation with key regulators, including the Joint Commission, NCQA, and CMS.

Unlock exciting opportunities

PROVIDER CREDENTIALING

Transforming healthcare visions into licensed success.

For Physicians

Our provider credentialing service empowers doctors to treat patients and swiftly receive payments from insurers. With meticulous attention to detail, we ensure there are no errors that could result in penalties or restricted access. This opens doors for physicians to join top-tier insurance networks and reach a broader patient base.

CMS Credentialing

We streamline Medicare enrollment for providers and suppliers. Our process begins by preparing providers to meet all necessary standards and conditions. Then, our experts handle the PECOS application filing on their behalf. With our guidance, you can expect a smooth, hassle-free experience. Soon enough, providers will be billing Medicare and receiving reimbursements without delay.

For Ancillary Providers and Facilities

Our team supports ancillary providers and facilities in securing credentialing and enrollment with health insurance networks. We meticulously prepare detailed requests and necessary documentation to guarantee verification. Our goal is to help you establish connections with networks that boost referrals and maximize reimbursements.

For Locums

We simplify the credentialing process for locum tenens providers. Our experts assist with submitting applications for licenses, privileges, and malpractice insurance. Once verified, locums are ready to accept assignments across various specialties and locations. It’s a win-win—locums gain valuable experience and extra income, while facilities efficiently fill staffing gaps.

Get Enrolled with Government Payors

Physicians can’t treat patients on government insurance without being enrolled for reimbursement. We simplify the process by handling all necessary paperwork—NPI numbers, medical licenses, and credentials—ensuring doctors are approved for Medicare, Medicaid, Tricare, and VA coverage. This enables patients to receive care and practices to get paid seamlessly.

Get Enrolled with Commercial Payors

Connecting doctors with major medical insurers is our specialty. We guide providers through the application and documentation process required by insurers like United, Aetna, Blue Cross Blue Shield, and Humana, each with its own unique requirements. Our tailored approach ensures that each physician or clinic meets the specific demands of every payer. Once enrolled in these networks, practitioners can receive reimbursements for services from these commercial insurance plans.

Enrollment by Region

The location where you establish your practice comes with unique enrollment requirements. To help providers meet these local regulations, we offer customized enrollment services tailored to each region. With our location-specific expertise, providers can successfully enroll and provide care to patients in their chosen areas, fully compliant with local guidelines.

PROVIDER ENROLLMENT

Meet every local law, satisfy every regulation.

CONTRACTS & APPLICATIONS

We’ve Got You Covered for CAQH, Contracts, and Recredentialing.

CAQH Application Support

We assist in completing and submitting credentialing applications on CAQH ProView. Once providers are registered in this universal credentialing platform, they can share their credentials with multiple payers and entities to secure accreditation. We also ensure everything is accurate and compliant to avoid rejections and accelerate the CAQH credentialing process.

Payer Contract Negotiation

We champion caregivers, advocating with insurance companies to ensure doctors, nurses, and clinics receive the fair rates they deserve. By thoroughly reviewing contracts, we uncover instances where providers have been underpaid and work directly with payers to correct these discrepancies. This ensures that healthcare professionals are properly compensated for their dedicated efforts.

Recredentialing & Revalidation

Credentials don’t last forever. To keep treating patients under a specific health plan, providers must renew them on time. We simplify the process by managing the entire recredentialing workflow. With all paperwork kept up to date, doctors stay compliant and maintain uninterrupted access to reimbursements.

  • One-on-One Expert Support

    We’re by your side every step of the way. Our experts will guide you through the entire credentialing process. Have questions? We’re here to provide answers and ensure you fully understand every detail.

  • Fast Credentialing Approval

    No delays here. Leveraging the latest technology and streamlined workflows, we ensure your approval is fast and efficient. Get verified quickly without wasting any time.

  • Ongoing Monitoring and Updates

    Compliance isn’t a one-time task. With ever-changing regulations and standards, we take care of ongoing monitoring and updates, ensuring you remain fully compliant at all times.

  • Maximized Reimbursements

    Maximized Reimbursements
    Our thorough credentialing process ensures you’re set up with the right payers and plans, so you receive full and timely reimbursements for the services you provide.

The best credentialing service that connects Healing Hands to the Paying Plans

The best credentialing service that connects Healing Hands to the Paying Plans

We’re here for you every step of the way. Our experts provide guidance throughout the entire credentialing process. Have questions? We’re ready to answer them and help you navigate it all with confidence.

Visit us

 

500N Kobayashi Rd
Webster, TX 77598

Hours
Monday–Friday
8am–5pm

Phone
(346) 554-1137