CREDENTIALING
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.
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.
SERVICES
PROVIDED
Our experienced staff can assist your Human Resources, Medical Staff Office, or Practice Administrator with routine and sometimes duplicate and time-consuming applications.
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Hospitals - Psychiatric, Acute Care, Specialty
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Ambulatory Surgery Centers
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Post-Acute Services & Support - Skilled Nursing, Assisted Living, Home Health, Hospice
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Commercial Insurance Credentialing on behalf of providers
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Government Payor Credentialing on behalf of providers
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Workers Compensation Credentialing on behalf of providers
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Network development, credentialing, and data management of Providers for managed care plans
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State Medicaid Enrollment
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Individual Medicare Enrollment
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NPI Registration (Type I & Type II)
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Management of the Credentialing Database Established for Each Client
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Collection of all documents/information from provider, necessary to complete Payor Applications
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Ancillary Providers
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Substance Use Disorder
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Residential Treatment Facilities
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Physicians/Clinicians