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.

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
CREDENTIALING SERVICES & NETWORK MANAGEMENT
SERVICES
PROVIDED

Hospitals

Psychiatric, Acute Care, Specialty

Ambulatory Surgery Centers

Post-Accute Services & Support

Skilled Nursing, Assisted Living, Home Health, Hospice

​Ancillary Providers

Substance Use Disorder

Residential Treatment Facilities

Physicians/Clinicians

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

614-228-9131

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