Category Archives: Credentialing

What’s the difference between a TRICARE network and non-network provider?

tricare network vs non network provider

What is a network provider with TRICARE? A network provider is a participating “civilian”(not on the base or a military employee) provider who has completed the TRICARE credentialing process and signed an insurance contract with the TRICARE administrator for your region. Once this contract is signed and loaded, a network provider will be loaded into […]

Should I add telemedicine services to my practice?

telemedicine credentialing

As a company that has worked in the telemedicine space for the past 10 years, and actually helped found a second opinion cancer company, I feel that we’re uniquely qualified to answer this question.  Our first dive into telemedicine was actually in 2006 where we helped launch a teledermatology company.  Since then, we’ve worked with […]

How do you credential a provider with an insurance company?

credentialing services

How to credential a provider with insurance companies: Credentialing with insurance companies otherwise known as provider enrollment can be extremely frustrating if you’ve never done it before.  Even with experience and every tool at your disposal, the credentialing process can still be exhausting.  Here is a brief overview of how to complete the provider enrollment […]

Provider Enrollment & Credentialing Positions

physician credentialing job

Our dynamic team continues to grow and we would love to have you join it.  We are looking to hire 2-3 enrollment specialists / account managers and another team leader over the next 2-3 months.  Experience in credentialing / provider enrollment is essential for these positions.  We will help expand your skill level but you should […]

Keys to Evaluating Potential Credentialing Service Providers

credentialing services

Don’t Risk Your Business With an Unreliable Credentialing Service Company This is a question that many of our potential clients ask when evaluating credentialing services.  This is an excellent question and there are a number of factors to consider which we will cover in this article. In addition to the below points, you should also […]

When does outsourcing your credentialing make sense?

credentialing services

As we all know, healthcare facilities exist to facilitate and administer medical care to their patients. While we have advanced like never before in our cure rates, infection prevention, disease management, OR efficiency and nearly every other available metric, the roadblocks to actually running a successful practice have done nothing but increase in size. Every […]

Updated Humana Medicaid Regs in Florida

credentialing services

We received this correspondence and thought it was worth sharing to ensure all Florida groups are aware of the changes.  Please contact us if you have any questions about this or other credentialing concerns.   From Humana: Beginning April 10, 2017, claims will be denied for physicians and healthcare professionals with invalid Medicaid enrollment. To […]