Re-Validation: Commercial Payer Enrollment (one provider/one plan)

$75.00

This is a re-validation service for a pre-existing commercial payer enrollment (one provider/one plan)

You Maintain 100% Control of Your Contracts, Rates and Clients
We provide independent commercial payer enrollment administration (also referred to as “credentialing”). Once the insurance payer approves your credentialing file, they will issue your participation contract. You retain complete ownership to review, negotiate, and sign your own contract terms and rates directly with the payer. You also maintain complete freedom to select your own independent billing company.

What Our Service Includes:

  • Data Preparation: Auditing and structuring your primary source verification and provider credentials.

  • Application Management: Complete preparation, formatting, and submission of initial network participation requests.

  • Active Tracking: Strategic follow-up with payer credentialing committees through their initial determination.

  • Transparency: Regular status updates and up-to-date insight into current insurance processing timelines.

Please note: Payer processing timelines are dictated solely by the insurance networks and vary by region.

Our Accuracy Guarantee:
We pride ourselves on precision. If an insurance network requests corrections or rejects an application due to a clerical error on our part, we will manage the necessary corrections and administrative updates at no additional cost to you.

This is a re-validation service for a pre-existing commercial payer enrollment (one provider/one plan)

You Maintain 100% Control of Your Contracts, Rates and Clients
We provide independent commercial payer enrollment administration (also referred to as “credentialing”). Once the insurance payer approves your credentialing file, they will issue your participation contract. You retain complete ownership to review, negotiate, and sign your own contract terms and rates directly with the payer. You also maintain complete freedom to select your own independent billing company.

What Our Service Includes:

  • Data Preparation: Auditing and structuring your primary source verification and provider credentials.

  • Application Management: Complete preparation, formatting, and submission of initial network participation requests.

  • Active Tracking: Strategic follow-up with payer credentialing committees through their initial determination.

  • Transparency: Regular status updates and up-to-date insight into current insurance processing timelines.

Please note: Payer processing timelines are dictated solely by the insurance networks and vary by region.

Our Accuracy Guarantee:
We pride ourselves on precision. If an insurance network requests corrections or rejects an application due to a clerical error on our part, we will manage the necessary corrections and administrative updates at no additional cost to you.

We Follow Best Practice and Compliance Guidelines

We are committed to following best practices and maintaining compliance when performing our services for you.

We will never attest on behalf of a provider, and we will never ask any of our provider clients to share their login information for any portal or account, or otherwise jeopardize the security of their sensitive information or credentials for the sake of expediency, convenience or profit.

HIPAA-Compliance

Credentials 360 is fully HIPAA-protected and utilizes Encyro’s state of the art security for all document transmissions, ensuring administrative, physical, and technical safeguards.

We’re here to help.

Contact us today with your questions or for your customized services proposal.