Provider Credentialing and Enrollment

In many ways, provider credentialing and provider enrollment are two sides of the same coin. Both are vital processes that must be completed by a healthcare practice before a new physician can begin accepting patients at that practice – and both are processes that can often entail a lot of time and hassle.

What is Provider Credentialing?

Provider credentialing is the process of checking the credentials of a new provider before they are hired by a healthcare practice. While this process is typically performed by the healthcare practice that is bringing the new provider on-board, insurance payers require the same provider credentialing information as part of the provider enrollment process.  CAQH is used for most of this information and it's of utmost importance to have all your provider information up to date and accurate.  This prevents flags and delays in the credentialing process.  

What is Provider Enrollment?

Closely related to the process of provider credentialing is the process of provider enrollment.  Like provider credentialing, provider enrollment can often be a very time-consuming and frustrating process. For many healthcare practices, provider enrollment and credentialing is a rather time consuming distasteful chore.  Let us take that burden from you.  Our associates are well versed in the credentialing arena and are able to make sure that the process is done right the first time, making delays disappear.

Credentialing takes you and your employees away from patient centered responsibilities.

Let use do the tedious follw-up involved so you can focus your attention on other things.  We provide a secure internet site for credentialing documents that allows you to see the status of your enrollments anywhere, any time and from any computer, iPad or smartphone.  We guarantee the confidentiality and security of your documents and private information.

Because we work with you remotely, we do not take up office space or tie up your phones, computers or copiers.  Let us take everyone's least-liked job off your hands!