✪ PROVIDER CREDENTIALING & ENROLLMENT SERVICES

One minute dreaming, Next minute serving patients

Our fast provider credentialing service helps healthcare practitioners obtain the credentials to compliantly practice their passion in their chosen locality across the USA.

Portfolio highlights*

Your dream hospital job, just a credential away!

The ideal hospital job for a doctor means fair pay and privileges. Our hospital credentialing service eases a provider’s access to their selected hospitals across the USA.

Hospital credentialing services*

Fast onboarding at hospitals in any of the 50 USA states.

Practice freely with full admitting and procedure privileges.

Tap into our hospital network to expedite credentialing twice as fast.

Get help completing the hospital credentialing applications.

Get enrolled into high-value payor networks

Highly profitable payer networks just out of reach? Our provider enrollment service bypasses barriers, leveraging insider relationships to enroll medics into rewarding contracts.

Providers want fair pay, We make it happen.

Providers are the backbone of care, yet many feel shortchanged by payers. Our team leverages insider connections and negotiation tactics to win fair, higher pay from insurers.
They got me the contact and pay rate I deserve after years of being undervalued.

Dr. J Smith

Family Physician

I was ready to opt out, but they got me a much better deal with Cigna. I’m staying in-network now.

Dr. M Johnson

MD

Get your CAQH ticket for in-network access!

Let us help you get CAQH credentialed. Our experts fill applications, create profiles, and ensure insurance panels notice you in the CAQH community.

CAQH credentialing services*

We get you your CAQH ID straight from the source.

We refine your CAQH profile based on your unique credentials.

We keep your profile optimized for all insurers on board.

Get consistent support throughout the entire CAQH credentialing process.

Because even temporary work deserves a real pay!

Filling in for others shouldn’t mean lower pay; we make sure “locum tenens” doctors are credentialed and reimbursed.

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Why choose our Credentialing service?

Smooth flow of reimbursements

Our credentialing experts make sure providers get the proper authorizations to bill insurers. With the right credentials in place, reimbursements flow smoothly.

Earn the trust and recognition

Compliance keeps providers in business. We ensure accreditation with all the watchdogs - Joint Commission, NCQA, CMS.

Management made easy

From first application to license renewal, we own the credentialing process start to finish. No detail escapes our attention, no deadline is missed.

Unlock exciting opportunities

Compliance keeps providers in business. We ensure accreditation with all the watchdogs - Joint Commission, NCQA, CMS.

PROVIDER CREDENTIALING

Turning healthcare dreams into licensed realities

because we realize your noble healing quest!

For Physicians

Our provider credentialing service enables doctors to treat patients and collect payments from insurance at a fast pace. With precision and care, we make sure there are no slip-ups that could cost physicians penalties or access. This paves the doctor's way to top-tier insurance plans and a more patient audience.

CMS Credentialing

We simplify Medicare enrollment for providers and suppliers. First, we prepare providers for standards and conditions. Next, our experts file the PECOS application on the provider's behalf. You can expect no surprises or hang ups along the way. Before long, the provider can send bills to Medicare and get reimbursed.

For Ancillary Providers and Facilities

Our team assists ancillary providers and facilities get credentialed and enrolled in health insurance networks. We will prepare detailed requests and supporting documents to ensure that you are verified. We aim to help you connect with systems that drive more referrals and reimbursements your way.

For Locums

We make it easy for locum tenens to get credentialed. Our experts guide locums through submitting license, privilege, and malpractice insurance applications. Once verified, locums can readily accept assignments across specialties and locations. It's a win-win – locums gain experience and extra pay while facilities fill gaps.

They got me the contact and pay rate I deserve after years of being undervalued.

Dr. J Smith

Family Physician

I was ready to opt out, but they got me a much better deal with Cigna. I’m staying in-network now.

Dr. M Johnson

MD

PROVIDER ENROLLMENT

Meet every local law, satisfy every regulation.

State lines shouldn’t limit your practice, it’s what we believe!

Get Enrolled with Government Payors

A physician can't care for patients on government insurance until they're enrolled to receive reimbursement. We make the process smooth by submitting all the right paperwork - NPI number, medical licenses, credentials - so docs are approved for Medicare, Medicaid, Tricare, VA coverage. Patients get care, practices get paid.

Get Enrolled with Commercial Payors

Assisting doctors hook up with major medical insurers is our forte. We lead providers through the applications and paperwork mandated by United, Aetna, the Blues, Humana – all have unique demands. It's bespoke, matching each doc or clinic to what every payer requires. When part of the network, practitioners can get reimbursement for services from these commercial plans.

Enrollment by Region

The location you hang your shingle comes with specific enrollment needs. To ensure providers meet all local requirements, we offer tailored enrollment services based on location. By using our region-specific services, providers can properly enroll and legally care for patients in their desired areas.

CONTRACTS & APPLICATIONS

We've Got Your Back on CAQH, Contracts & Recredentialing

because we realize your noble healing quest!

CAQH Application Support

We lend a hand finalizing and submitting credentialing applications on CAQH Proview. With providers registered in that universal credentialing catalog, they can broadcast their credentials to multiple payers and entities to gain their accreditation. We also make sure all's shipshape to sidestep rejections and revv up the CAQH credentialing process.

Payer Contract Negotiation

We are advocates for caregivers; negotiating with insurance overlords so doctors, nurses and clinics receive the fair rates they deserve. We pore over contracts to identify where providers have been shortchanged and also speak with payers to remedy the imbalances. This helps healers get squarely paid for their tireless toil.

Recredentialing & Revalidation

Credentials are not forever. To continue seeing patients under a given health plan, providers must renew on schedule. We make it easy, handling the whole recredentialing process for them. With up-to-date paperwork in place, doctors avoid falling out of compliance or losing access to reimbursements.

They got me the contact and pay rate I deserve after years of being undervalued.

Dr. J Smith

Family Physician

I was ready to opt out, but they got me a much better deal with Cigna. I’m staying in-network now.

Dr. M Johnson

MD

Benefits of our Credentialing Service

One-on-One Expert Support

We're with you all the way. Our experts guide you through every step of credentialing. Ask anything. We're here to answer and help you understand it all.

Fast Credentialing Approval

No waiting around. We use the latest tech and efficient workflows to get your approval fast. You're verified quickly with no wasted time.

Ongoing Monitoring and Updates

It's not one and done. Regulations and standards change constantly. We handle the monitoring and updates for you. So you're always compliant.

The best credentialing service that connects Healing Hands to the Paying Plans

We’re with you all the way. Our experts guide you through every step of credentialing. Ask anything. We’re here to answer and help you understand it all.

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