DOC Credentialing, LLC
About
My service includes credentialing and provider enrollment. I work with all specialties and all States in the USA, and assist with enrollment in all insurance networks including government programs. My credentialing solution fits any organization regardless of size or specialty.
I also work with CAQH needs, linking a provider to an existing credentialed group, demographic updating with insurance panels and, cancellation of payer panels. I also offer package deals for clinics/providers who need a point of contact for insurance panels or need monthly service maintenance (see service page for prices and details).
Why is Credentialing Important?
Credentialing is the process of verifying healthcare providers' qualifications, licenses, and expertise to ensure they meet the standards required to provide exceptional patient care. It is a crucial aspect of the healthcare industry as it helps protect patients from unqualified providers and mitigates potential liability issues for practices and healthcare facilities. Credentialing is essential for insurance reimbursement, hospital privileges, and regulatory compliance. Please keep in mind that this may take 60-120 days to complete.
Provider Enrollment
Provider enrollment refers to the process of requesting participation in a health insurance network. The process involves requesting participation, completing the credentialing process, submitting supporting documents and signing the contract. Enrollment is also the validation of a provider in a health plan and the approval to bill the agency for services rendered.