Handle all payer enrollment, CAQH setup, and revalidation to keep your providers in-network and payment-ready.
Credentialing applications with insurance payers take 90-180 days, delaying practice revenue and preventing providers from seeing patients.
Each payer requires unique forms, supporting documents, and verification methods creating administrative complexity and errors.
Missed re-credentialing deadlines cause provider enrollment to lapse, halting all claim payments until re-enrollment is complete.
Keeping CAQH profiles current with licenses, certifications, and practice information requires constant monitoring and updates.
Each insurance company has different credentialing requirements, creating a maze of paperwork and follow-up for practices.
Hospital medical staff credentialing and privileging add another layer of complexity with separate requirements and timelines.
Expert credentialing specialists who know payer requirements ensure complete, accurate applications submitted quickly the first time.
Comprehensive CAQH profile setup and ongoing maintenance keeps provider information current and accessible to all payers.
Automated tracking system monitors all re-credentialing deadlines and initiates renewal process well in advance to prevent lapses.
End-to-end support for all credentialing needs including commercial payers, Medicare, Medicaid, and hospital medical staff.
Complete credentialing application preparation and submission for new providers joining your practice.
Comprehensive CAQH database profile creation and ongoing maintenance for streamlined payer access.
Proactive monitoring and management of all re-credentialing requirements to prevent any lapses.
Strategic enrollment with additional payer networks to expand patient access and revenue opportunities.
We hired three new physicians and were facing 4-6 month credentialing delays. Medtransic got all three fully credentialed with our top 15 payers in under 90 days. Their CAQH expertise and payer relationships saved us over $300,000 in lost revenue.
Contact Medtransic today for expert credentialing services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.