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Provider Enrollment
◽ Provider enrollment services for physicians, ancillary healthcare providers and healthcare entities. Service includes, but not limited to; Commercial Insurance, Medicare, and Medicaid enrollment.
Ongoing Monitoring
◽ Network Management for Health Plans, including CAQH Re-Attestation.
◽ Hospital Privilege Expiration Monitoring
◽ Credential Expiration Monitoring
Hospital Privileging
◽ Initial and Re-Credentialing Application processing
◽ Hospital privilege management, including Medical Staff Office point of contact for the duration of application processing
Billing
◽ Service includes, but not limited to;
- Verification of Benefits
- Claims Submission & Coding Services
Credentialing Verification Organization
◽ Primary Source Verification according to TJC, NCQA, DNV, AAAHC, URAC and more
◽ Accreditation Auditing
