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.
Let's get you in-network!