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Credentialing & Contracting
Credentialing is Critical
Whether your choices are In-network or Out-of-network, credentialing is one of the most vital pieces of your operation.
Why Partner with us for Provider Enrollments?
- Credentialing Experts – Instantly gain a team of experts
- Savings – Paying us costs less than in-house credentialing
- One account manager for your “single point of contact”
- Accuracy – Get paid faster – setup done right the first time
- Persistence – We don’t stop until the process is 100% completed
- Availability – Call or email anytime – we love hearing from you
- No More Paperwork – Remove headaches & mounds of paperwork
- Credentialing services are highly recommended
- We make all the calls, follow-ups, and submit all applications, emails, and faxes for you
- Dedicated Account Manager
- 24/7/365 Availability
- Provider Portal and Practice Manager Portal
- Automated Alerts & Renewals
- Secure Document Storage
- Compliance Reports & Dashboard
- Pay-as-you-go model – no long-term contracts – cancel anytime
Credentialing & Contracting
Contracting with an insurance company is more complex than focusing solely on the reimbursement rate. The language of the contract is often not thoroughly reviewed, and provisions in the contract may create unnecessary burdens for the provider.
Contracting Provides:
- Resources to identify and define leverage to enhance positioning for negotiations.
- Proactive review of each contract, alerting the provider of recommendations for revisions prior to renewal.
- Negotiation of contract language and reimbursement rates, as defined by the business strategy and approved by the client.
- Preparation and maintenance of a core file with matrix(es) of contracts containing a quick reference of key terms and reimbursement rates compared to the benchmark rate.
- Maintenance of payer relationships and initiation of any contracting discussions.
Reach Us
1000 Lafayette Blvd Suite 1100, Bridgeport CT 06604
Business Hours
Mon - Sat : 8am to 6pm
Sun : Closed
