I reach out to your selected payers regarding their panel status, initiate the process for obtaining a contract, submit the proper applications and documentation, and follow up until fully executed.
I track credentialing status with all payers and locations, confirming that applications have been received, that no other information or documentation is needed, and that follow up is regularly completed.
I work with your providers or group contact to gather information, verify documentation, and manage initial credentialing for new providers across many specialties.
Usually done every three to five years, I work with the payers during this verification process to ensure proper recredentialing and continuous patient care.
For newly hired providers that are already credentialed with a payer, I assist with linking them to your 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 submit TIN and provider demographic changes to keep your group and provider directory data up to date.
I frequently work with these Minnesota & Wisconsin payers.
Let's get you in-network!