Dentists, Dental Surgery – DDS, DMD, MD

We will collect and submit credentialing documents to send to state commercial health plans and National Carriers (Delta Dental, Blue Cross/Blue Shield, Guardian, Aetna, CIGNA, MetLife) of your choosing, individual and group enrollment in Medicare, Medicaid/MCOs, and TRICARE/United Concordia, as well as help apply for hospital privileges (if applicable).  We can also help maintain and update CAQH and web portals.  

Our medical credentialing services include:

  • Provider enrollment services for physicians and healthcare entities (credentialing and contracting with health plans)
  • Medicare provider enrollment and re-validation services
  • Credentials verification for physicians and ancillary healthcare providers
  • Network management for health plans
  • Outsourced hospital privileging (outsourced medical staff office)
  • Managed care contracting
  • Annual maintenance needs; CAQH, updating the health plans w/ liability/licenses, and re-credentialing
    • We offer a discounted rate for annual maintenance for unlicensed providers, like Qualified Mental Health Associates (QMHA) and Qualified Mental Health Professionals (QMHP)

Our staff will work with any insurance companies to get your practice providers enrolled with health plans and to maintain your providers credentialing files.

 

  • All Specialties
  • All Commercial Insurances
  • All Government Payers (Medicare and Medicaid)
  • Nationwide Including Alaska, Hawaii and Puerto Rico
  • Re-credentialing and Re-validations
  • CAQH Setup
  • Web portal set-up for sites as needed
  • NPI & Group NPI setup
We keep your information confidential. It goes to no third party individual, government agency, or company at any time unless compelled to do so by law.
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