Credentialing is a major part of both the contracting division and the network development team. We offer a complete menu of credentialing services to all managed care providers.
Managed Care Credentialing
With over 50 years combined experience, our Credentialing Department is familiar with all Federal and State level requirements, in addition to the application process for all major, and not so major, health plans nationally.
PROVIDER TYPES CREDENTIALED
Strategic Health Care Managed Care Solutions (SHCMCS) offers a complete menu of credentialing services to all managed care providers.
CREDENTIALING SERVICES & NETWORK MANAGEMENT
SHCMCS provides Initial Credentialing and Recredentialing services for our 400+ providers with experience in all 50 states across the country, both state level credentialing and managed care plan credentialing.
Our experienced staff can assist your Human Resources, Medical Staff Office, or Practice Administrator with routine and sometimes duplicate and time-consuming applications.
Psychiatric, Acute Care, Specialty
Ambulatory Surgery Centers
Post-Accute Services & Support
Skilled Nursing, Assisted Living, Home Health, Hospice
Substance Use Disorder
Residential Treatment Facilities
Commercial Insurance Credentialing on behalf of providers
Government Payor Credentialing on behalf of providers
Workers Compensation Credentialing on behalf of providers
Network development, credentialing, and data management of Providers for managed care plans
State Medicaid Enrollment
Individual Medicare Enrollment
NPI Registration (Type I & Type II)
Management of the Credentialing Database Established for Each Client
Collection of all documents/information from provider, necessary to complete Payor Applications