I reach out to your selected payers regarding their panel status, initiate the process for obtaining a network agreement, and follow up until executed.
I confirm applications have been received by the payer, that nothing else is needed, and follow up regularly until requests have been completed.
I'll send you a checklist and work with your providers or group contact to gather information and verify documentation for quick submissions.
Usually done every three to five years, I keep track of requests and work with the payers during this verification process to ensure continuous patient care.
For providers that are already credentialed with a payer, I can assist with linking them to a new group.
I review, update, and attest provider and group information to maintain payer system roster accuracy and compliance.
GROUP & PROVIDER UPDATES
Adding a new location for your group? An NPPES update? A name change for a provider? Removing a provider from your group?
To help patients make informed decisions about their healthcare, I can submit changes to keep your group and provider directory data up to date.
I frequently work with these Minnesota & Wisconsin payers:
Aetna, Anthem, BlueCross BlueShield,
Cigna, Delta Dental, EyeMed, First Health,
Forward Health, HealthPartners, Hennepin Health, Humana,
Medica, MN Medicaid, Medicare, Optum, Prime West, Sanford,
SecureCare, Security Health Plan, Tricare, UCare,
United Behavioral Health, United Healthcare,
WPS Health Insurance, and others.
Pick the ones you want and let me know how I can help!