Increasing healthcare costs and data confidentiality issues holding you back from delivering exceptional patient care? Are you missing your primary goal of improving patient care and managing emergencies?
TECHNATIO SOLUTIONS
RCM Services
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+1 (714)982-7150
Provider Credentialing Enrolment
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Technatio Solutions offers a comprehensive range of billing and healthcare services. We complete all the necessary paperwork on your behalf with the chosen payer networks and other entities, and follow all payer contracts through to contract load date and provide copies of fully executed contract to your office or organisation. And validate the same information on CAQH profile for all the professional needs
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Physicians/providers must credential themselves, i.e., enroll and attest with the Payer’s network and authorized to provide services to patients who are members of the Payer’s plans. The credentialing process validates that a physician meets standards for delivering clinical care, wherein the Payer verifies the physician’s education, license, experience, certifications, affiliations, malpractice, any adverse clinical occurrences, and training.
Payers may delay or refuse payments to physicians who are not credentialed and enrolled with them. These impact the financials of the practice negatively. Our customized Payer credentialing and enrollment services support physicians in:
Starting or joining a new practice
Switching from one physician practice group to another
Join or become affiliated to new groups or practices
Enroll with new payers
Maintain their credentialing services.
Our Credentialing Process Involves
Collect all the data and documents required for filing credentialing applications from the physicians
Store the documents centrally on our secure document management systems
Understand the top payers to which the practice sends claim and initiate contact with the payers
Apply the payer-specific formats after a due audit
Timely follow-up with the Payer to track application status
Obtain the enrollment number from the Payer and communicate the state of the application to the physician
Periodic updates of the document library for credentialing purposes