Credentialing and provider Enrollment

Documentation - We comprehend health plan documentation criteria, compile physician credentials, and collaborate to streamline and catalog information, minimizing documentation burdens. Proactively identifying exceptions and initiating calls to physicians for necessary document acquisition.

Primary source verification - We carry out primary source verifications such as criminal background verifications, education verifications, hospital admission verifications, DEA verifications, national provider data banks, reference verifications, work history verifications, and state licenses using primary source verification engines provided

Submission - We compile and apply according to the formats specified by the payer 

Periodic Follow-up - We follow up with the payers at regular intervals to expedite the credentialing process.

Re-credentialing - We maintain and update the provider data in a catalog to do re-credentialing or credentialing with other payers.​