Naturopaths – ND (PCP and Specialists)

We will collect and submit credentialing documents to send to the commercial health plans and National Carriers of your choosing (Blue Cross/Blue Shield, American Specialty Health (ASH Networks) including Aetna, CIGNA, Complimentary Health Plans (CHP) and OPTUM (United Healthcare)).  We are knowledgeable in the credentialing rules for PCP vs Specialist designation for natural medicine providers and how that looks with the different health plans.  MTSL is also versed in individual and group enrollment in MedAdvantage plans, Medicaid and MCOs.  We can help providers 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