Physicians/providers must credential themselves, i.e., enrol and attest with the Payer’s
network and authorized to provide services to patients who are members of the Payer’s
plans. The credentialing process validates that a physician meets standards for delivering
clinical care, wherein the Payer verifies the physician’s education, license, experience,
certifications, affiliations, malpractice, any adverse clinical occurrences, and training.
Payers may delay or refuse payments to physicians who are not credentialed and enrolled
with them. These impact the financials of the practice negatively. Our customized Payer
credentialing and enrolment services support physicians in:
● Starting or joining a new practice
● Switching from one physician practice group to another
● Join or become affiliated to new groups or practices
● Enrol with new payers
● Maintain their credentialing services.
Our Solutions CREDENTIALING PROCESS INVOLVES THE FOLLOWING:
Collect all the data and documents required for filing credentialing applications from the
physicians
● Store the documents centrally on our secure document management systems
● Understand the top payers to which the practice sends claim and initiate contact with
the payers
● Apply the payer-specific formats after a due audit
● Timely follow-up with the Payer to track application status
● Obtain the enrolment number from the Payer and communicate the state of the
application to the physician
● Periodic updates of the document library for credentialing purposes
SG Healthcare services
We are happy to provide you additional information or discuss your unique requirements. Please contact us today!
12574 COTTAGE LN, FRISCO, TEXAS 75035
+1302-351-4000