Credentialing and Enrollment
ExpedientProviderEnrollment
Expert managed care credentialing and provider enrollment services.
Count on compliance
Eliminate stress about payer follow-up
Shorten your reimbursement timeline
We Navigate the Complex Managed Care Enrollment Process with Ease
No matter which health plan, regulatory agency, IPA (Independent Physician Organization), MCO (Managed Care Organization), or ACO (Accountable Care Organization) your providers need to be enrolled with, we make it hassle-free. Throughout the provider enrollment process, we will keep your team up to date on status along the way.
We Handle:
- Initial enrollment request preparation and submission
- Provider data file updates for individual contracts or additions to an existing group
- Follow-up on application processes until effective date is issued by health plans
- Upload latest information into the Council for Affordable Quality Healthcare (CAQH)
- Administration of CAQH profile changes
- Maintenance of provider data on payor sites and clearinghouse
- Plan status maintenance, including effective dates tracking
- Management of expirable data, reappointment, and revalidation application process
