PROVIDER CREDENTIALING AND ENROLLMENT:
★ Commercial insurance panel credentialing & enrollment
★ Government insurance panel credentialing & enrollment
*Medicare requires two applications & Group application*

 

AGENCY/FACILITY CREDENTIALING AND ENROLLMENT:
★ Commercial insurance panel credentialing & enrollment
★ Government insurance panel credentialing & enrollment

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~Please note: Flat rate registration fees do not include attestation or recredentialing to any insurance panel~

DISCOUNTED PACKAGE OPTIONS

*Best price for Group Practice credentialing & enrollment*
★ 7-10 applications (combined commercial) (government additional price)
★ 11-20 applications (combined commercial) (government additional price)
★ 21-25 applications (combined commercial) (government additional price)

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EXSISTING GROUP CONTRACT:

★ Provider is already credentialed but needs linked to the existing group practice contract

À LA CARTE:
★ Recredentialing
★ Demographic updates
(including but not limited to, address update, NPI or TIN update/change, etc.)

★ Updating or resolving preexisting credentialing or enrollment issues

★ Revalidations

★ Attestations
★ CAQH updates
★ New CAQH set up

★ Termination of panel contracts
★ Contract negotiations (rate increases)

★ NPI registry updates
★ New NPI set up

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TOTAL MAINTENANCE PLANS:
 

COPPER PLAN:

* For single provider-15 admin hours or less/month*

*Monthly or yearly plans available*
★ 2 CAQH Maintenance/New setup/year
★ 2 Credentialing application/year. *not including Government applications*
★ 2 NPI profile update/year
★ Insurance panel attestation reminders
★ 2 Demographic update/year
★ Medicare/Medicaid revalidation reminders
★ Commercial insurance revalidation reminders
★ Main point of contact for insurance panel questions, concerns, or updates
Per provider/12-month Service Agreement required. 

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BRONZE PLAN:
*For two providers-Up to 20 admin hours/month*

*Monthly or yearly plans available*
★ 4 CAQH Maintenance/New setup/year
★ 4 Credentialing applications/year. *not including Government applications*
★ 4 NPI profile updates/year
★ Insurance panel attestation reminders
★ 4 Demographic updates/year
★ Medicare/Medicaid revalidation reminders
★Commercial insurance revalidation reminders

★ Main point of contact for insurance panel questions, concerns, or updates

Per provider/12-month Service Agreement required. 

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SILVER PLAN:
*For multiple providers-Up to 30 admin hours/month*

*Monthly or yearly plans available*
★ 6 CAQH Maintenance/New setup/year
★ 6 Credentialing applications/year *not including Government applications*
★ 6 NPI profile updates/year
★ 6 Insurance panel attestation renewals/year
★ 6 Demographics updates/year
★ 6 Medicare/Medicaid revalidation applications/year
★ 6 Commercial insurance revalidation applications/year 

★ Main point of contact for insurance panel questions, concerns, or updates

12-month Service Agreement required

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GOLD PLAN:
*For multiple providers-Up to 40 admin hours/month*

*Monthly or yearly plans available*
★ 8 CAQH Maintenance/New setup/year
★ 8 Credentialing applications/year *not including Government applications*
★ 8 NPI profile updates/year
★ 8 Insurance panel attestation renewals/year
★ 8 Demographics updates/year
★ 8 Medicare/Medicaid revalidation applications/year
★ 8 Commercial insurance revalidation applications/year 

★ Main point of contact for insurance panel questions, concerns, or updates

12-month Service Agreement required.

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