Physician Credentialing Services

Insurance Enrollment (For Physicians and Offices)

As Physician Enrollment determines your practice’s physicians/staff’s eligibility-status as providers of medical services in pre-identified specialty disciplines, it is imperative that you, either as a sole-practitioner or group of practitioners, get your services credentialed through prospective insurance carriers. But given the heterogeneous mix insurance players – Federal Government’s popular health insurance schemes such as Medicare and Medicaid, and a number of private health insurance plans – a considerable time of your quality time is going to be spent on satisfying the heterogeneous insurance players with your practices’ medical credentials for Physician Enrollment.

And when you consider the procedural complexity involving Physician Enrollment – Preliminary Application, Scrutiny, and Renewal – it may not be prudent to do all by yourself as it can take away much of your quality time reserved for augmenting quality medical care to your patients. Moreover, given the competitive level under which medical practices find themselves in, our ingenious and proven Physician Enrollment Services – offered both as a separate component or an integral constituent of our Comprehensive Medical Billing Revenue Cycle Management – should be an optimal choice both cost and as well as efficiency wise. Our Physician Enrollment is comprehensive enough to cover both Medicare and private insurance carriers’ obligatory procedures for availing enrollment-status

Under Medicare Enrollment, we can undertake Medicare Enrollment Application for:

• Institutional Providers
• Clinics, Group Practices, and Certain Other Suppliers
• Physicians and Non-Physician Practitioners
• Reassignment of Medicare Benefits
• Eligible Ordering and Referring Physicians and Non-physician Practitioners
• Managing callbacks and cross-scheduling
• Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers

These diverse Medicare Enrollment services are duly renewed as when CMS deems it mandatory.

Our Medicare Enrollment is duly complemented by a comprehensive enrollment for private insurance schemes, floated by leading health insurance carriers, such as:

• Unitedhealth Group
• Wellpoint Inc. Group
• Kaiser Foundation Group
• Aetna Group
• Humana Group
• Coventry Corp. Group
• HCSC Group
• Highmark Group
• Independence Blue Cross Group
• Blue Shield of CA Group
• Cigna Health Group
• Health Net of California Inc
• Regence Group
• BCBS of MA Group
• Carefirst Inc. Group
• Wellcare Group
• HIP Ins. Group
• Metropolitan Group
• UnumProvident Corp. Group
• Universal Amer Fin Corp. Group
• Lifetime Healthcare Group

When you combine our ability to manage both Medicare as well as private health insurance plans with prevailing state-specific health insurance laws across diverse regional states in the US, your Physician Enrollment needs can look no further!