by Devonn Simmons | Sep 15, 2021 | Provider Contracting
Provider Enrollment (Initial and Re-credentialing) – this is the process of enrolling a group or a provider with the insurance payers, also called payer enrollment or credentialing. It can often be a lengthy process depending on the payer and can sometimes take about...
by Devonn Simmons | Aug 25, 2021 | Credentailing
Credentialing efforts should be minimally burdensome to providers while expediting their ability to care for members during this unprecedented time. That’s why we are here to share with you the Credentialing/Recredentialing Standards during COVID-19 Emergency...
by Devonn Simmons | May 5, 2021 | CAQH, Maintenance
CAQH is an online database that stores a provider’s historical information related to his medical education, licenses, malpractice history, practices that he currently works for, work history, and documents of all licenses, diplomas, board certifications, etc....
by Devonn Simmons | Apr 28, 2021 | Provider Contracting
The first step in any successful provider contract negotiation occurs long before you reach out to the payer with demands. Before engaging in formal negotiations, you should arm yourself with as much knowledge as possible. Familiarize yourself with your current...
by Devonn Simmons | Apr 14, 2021 | CAQH, Credentailing, Provider Contracting
Provider credentialing and enrollment with the payers is becoming more demanding and strenuous every single day. With most insurance panels getting a bulk load of work, due to the burst in membership applications. And a lot of them being particular about enrolling...
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