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[US_STATE_MCPARG] When patients begin the process to secure a suitable medical provider or a specialized provider, the initial process typically involves engaging with their insurance company to acquire a roster of healthcare providers operating within their geographic area within the network of providers approved by the insurance company.
The pivotal nature of credentialing your practice, not to be overstated, as it determines the visibility of your name and/or practice within that search process.
Credentialing presents an invaluable opportunity for your practice to cater to a distinct area within your locality and gain inclusion within the network of insurance plans. The intricate process of being a part of these networks mandates a meticulous enrollment procedure with precise documentation. Any discrepancies during this enrollment phase could possibly result in financial losses, delayed payments, jeopardizing your patient base and in extreme cases, leading to non-payment for services rendered.
MindParcs Inc, a reputable entity with in-depth experience with the Credentialling requirements, Application process, documentation and upkeep of [US_STATE_NAME] Payers, specializes in managing all facets of these requirements. We oversee the enrollment process from initiation to completion. We also ensure that the recredentialing process is done in accordance with time guidelines to safeguard against any revenue loss.
Credentialing and re-credentialing Services in all states
Services for Medicare, Medicaid, Department of Labor and all commercial payers
Maintain and update Proview/CAQH (Council for Affordable Quality Healthcare)
Services for groups and individuals
Medical license and Insurance renewal tracking
Prepare and submission of all applications
Assistance with all data gathering
Manage all payer communication
Closed Panel Tracking
Single and multiple location services
EFT Enrollment (Electronic Funds Transfer)