Our credentialing Service is a crucial step in avoiding late healthcare claim submission, exceeding filing limits, wasting time, and losing revenue. Our experienced team manages the credentialing process and assists you with provider enrollment and medical credentialing.
We ensure that the credentials received from the practitioner are completely accurate and review them on a regular basis for additional verification.
Credentialing service as a team
A team that completes credentialing details and submits them to commercial insurance companies, medicare, and medicaid as requested by healthcare providers.
Optimedserivces ensure compliance
Our credentialing services ensure compliance with the NCQA and the Department of Health and Family Services (DHFS).
Contracting problems and data integrity
Through audits, we resolve contracting issues and ensure data integrity.
- Medical credentialing services typically entail gathering information about a physician’s background and qualifications via a formal application that is cross-checked against reliable sources such as the National Practitioner Data Bank or the American Board of Medical Specialties.
- For about 5 years, the coalition for affordable quality healthcare has offered a credentialing services , which has been adopted by the majority of payers in the United States.
- Physicians are typically required to answer 800 questions when contacted by a hospital, HMO, or employer. Items ranging from licensure to practice history in the last five years are included in the information.
Finding the best medical billing company and credentialing services
The best medical billing company and credentialing services can be a difficult task for a healthcare professional. The service provider a medical professional selects will determine whether there will be the peace of mind or disruption. Although there are numerous credentialing services provider companies around the world, each claiming to be the best, finding the right service would necessitate some investigation. At Optimedservices, we offer credentialing services that are tailored to your specific needs and requirements, allowing you to focus on what you do best: helping people live the healthiest lives possible.
Get in touch with our credentialing service team