Credentialing and Payor Enrollment Services
Credentialing and Payor Enrollment Services
Provider credentialing is an essential process for the revenue cycle. A tremendous amount of reimbursement is lost due to incomplete or incorrect credentialing. Whether you’re setting up a new practice or adding new insurance panels to your existing practice, AR Practice Solutions’ credentialing team is highly trained and experienced in managing all steps of the credentialing process with government and commercial insurance plans.
Our team obtains all required documents and double-checks that they are complete and accurate before submitting them to insurance companies. We ensure that your practice is in-network, allowing you to begin seeing patients and generating revenue. Our credentialing team stays on top of provider credentialing and recredentialing with insurance panels. Additionally, our staff stays current with fee schedules and can provide valuable guidance on selecting the right insurance panels for your practice.
Payor Enrollment Solutions
Payor enrollment serves as the pivotal first step in any healthcare organization’s revenue cycle. Properly enrolling healthcare providers in various payer networks, including both private and government-funded programs, is critical for timely and effective reimbursement. Our solutions simplify this otherwise intricate and time-consuming process, allowing your organization to concentrate on delivering high-quality patient care.
Why Choose Our Payor Enrollment Solutions
Streamlined
Process
Efficiency and Accuracy
Real-Time Updates and Monitoring
Features
Multi-Payer Compatibility
Understanding that healthcare organizations often interact with multiple payers, each with their own unique rules and forms, our platform is designed to handle these differences in an efficient manner.
Credential Verification
We undertake the critical task of verifying all provider credentials in accordance with industry standards, ensuring complete compliance and thereby making certain of their eligibility for network participation.
Expiry Alerts and Re-Enrollment
Our services extend beyond initial enrollments. Our system sends automated alerts for upcoming re-enrollment or credential verification deadlines, ensuring that your billing rights remain uninterrupted.
Analytics Dashboard
Keep track of each step in the enrollment process through a user-friendly dashboard offering useful metrics and key performance indicators (KPIs).
How it works
- Sign Up: Begin by contacting our team for an initial consultation and assessment. Data Collection: Use our secure portal to submit the required information and documents.
- Verification and Submission: We verify all details and manage the application submission to respective payers.
- Monitoring and Updates: You’ll receive real-time updates on the status of each application.
- Completion and Billing: Once approved, you can begin billing and claiming reimbursements without any delays.
Let Us Handle Your Credentialing & Payor Enrollment
Credentialing delays and enrollment errors can slow revenue and disrupt practice operations. Our experienced team manages the entire credentialing and payer enrollment process accurately and efficiently so you can begin billing without delays while remaining fully compliant with insurance requirements.