Provider Credentialing and Enrollment Services
Provider credentialing and enrollment services is a process of enrollment and attestation that a physician is part of a Payer’s network and authorized to provide services to patients who are members in the Payer’s plans. The credentialing process validates that a physician meets standards for delivering clinical care, wherein the Payer verifies the physician’s education, license, experience, certifications, affiliations, malpractice, any adverse clinical occurrences, and training.
Payers may delay or refuse payments to physicians who are not credentialed and enrolled with them. These impact the financials of the practice negatively.
eBotics’s Payer credentialing and enrollment services:
- Starting a new practice.
- Switching from one physician practice group to another.
- Join or become affiliated to new groups or practices.
- Enroll with new payers (including DME credentialing).
- Workers Compensation Credentialing.
- Monitoring & Maintain the provider credentialing services.
- Updating practice’s Pay-to address.
2. Enrolling for electronic transactions.
- Electronic Data Interchange (EDI)
- Electronic Remittance Advice (ERA)
- Electronic Fund Transfer (EFT) and
- CSI
- CAQH application completion and attestation.
- NPI Registration (Type I and type II).
- Group & Individual Medicare Revalidation.
- PECOS/ I&A updates.
Benefits of eBotics’s credentialing services:
- Eliminate the immense amount of your time spent making phone calls, submitting applications, handling emails and incoming faxes.
- Reduce in cost up to 30-40%.
- Keep the organization acquiescent with insurance payers Improves turnaround time, usually within 30-60 days.
- Weekly Status report for each provider and insurance.
- Accelerate revenue by permitting physicians to examine patients with certain payers more quickly.
- Dedicated team for faster responses to queries or issues.
- Eliminate accounting errors that delay the enrollment process.
