What is physician Credentialing?

Physician Credentialing is process of primary source verification for physician’s education, experience and other related credentials. It is to ensure that medical provider is competitive enough to render the healthcare services.

The objective of physician credentialing process is to make sure that all the information provided by medical provider in his or her physician credentialing application is correct.

Credentialing is also very important if you want to start your own telemedicine practice. This insurance credentialing process helps to minimize the risk of fraud. It is to ensure that patients get highest level of care from safe hands.

A primary source for your educational background could be the medical school you attended in order to earn your medical degree or certificate. For work experience it could be your previous employer. For licensure it will be your state medical board.

It also encompass verification of training and education through the American Medical Association or the Educational Commission for Foreign Medical Graduates if the medical provider got his medical education outside the United States.

Medical insurance payers can also verify Medicare sanction information from National Practitioner Data Bank on closed and settled claims history.

Physician Credentialing process is tedious and time consuming process with a lot of requirements. It can take 30 to 120 business days. It also varies payer to payer as some insurances may process your application within 15 days and some may take up to 6 months.

Our services are for following practices.

• Clinics
• House calls
• Private practices
• Telehealth or Telemedicine setups
• Surgery centers
• Hospital Privileges
• IPA Affiliations
• Hospitals
• We have simple procedure to start with.
• 1-Contact
• Simply explain what you want & leave your contact details. We will get back to you at our earliest.
• 2 - Information
• After reviewing your query, we will get back to you as soon as possible to have clear idea regarding your requirements as well as we will help you to prepare specific documents required to complete the application.
• 2 - Submission
• On your Go Ahead call, Our expert will update and submit the application to related departments.
• Dedicated Manger will follow up with all verification resources as well as keep you posted regarding updates.

Get Following Covered for Only $ 299 per Month per Provider

Life time support

Get Credentialed with as many insurances as you want

NPI registration & Maintenance

CAQH Registration & Maintenance

Medicare & Medicaid Enrollment

Credentialing & Re-Credentialing with Commercial and HMOs.

Contracting & Negotiations

Direct Deposit Setups to avoid extra workload.

Demographic Updates.

Quarterly Directory Verification

Physician Credentialing Expert having 7 years experience.