don’t waste your time in the maze of credentialing
Our team is ready to utilize their experience & payer relationships to efficiently credential your organization and providers. We have packages for every organization regardless of size or scope.
Don’t you have enough to deal with, why bang your head against a wall trying to figure out each payer’s credentialing process. Our experienced team of US BASED credentialing experts can take your organization through the entire credentialing process without you ever losing sleep or even breaking a sweat.
We help thousands of providers every year and would love to take this off your plate. Whether you’re a hospital, multi-specialty group or a solo practitioner, our credentialing services and enrollment technology are designed to accommodate every organization. It’s not a one-size-fits-all approach with our company as we understand that every practice is different and has their own set of challenges that we need to address. Our leadership is comprised of former executives with extensive knowledge in running and growing medical facilities.
First off, we were the first, yes first nationwide credentialing & enrollment company that is still in business. Second, in addition to our credentialing experience, our team members include certified coders, certified credentialing specialists, telemedicine experts and former practice managers. Payer enrollment is a time-consuming process where attention to detail is critical but it all starts with having the right people(and experience) on your side. Even the slightest mistake in an application can cause the entire process to halt which ultimately leads to delayed payments.
We provide contracting and insurance credentialing services to practices and hospitals of all shapes and sizes across the country, and have been doing so for over 10 years.
Upon completion, you will be redirected to our calendar to schedule a free consultation.
Do you enjoy talking to a robot? We hate it which is why each client has a dedicated account manager that is a REAL person who is actually working on your account. You can trust that your data is being handled by an experienced professional who takes your success very seriously.
Would you buy something from AMEZIN PRIMAL? If not, why would you trust something so vital with a new company with a better price or one without experience helping your organization? Credentialing is not one of those tasks outsourced with serious potential ramifications for your organization.
Don’t take our word for it, talk to our clients and hear first hand how well we take care of them. Yes, we’re bragging when we say that our #1 source of new business is from client referrals. Our top priority is that our clients are happy with the service they receive.
We stand behind our service, are A+ rated by the BBB and offer a price match guarantee for any reputable credentialing firm based and operated in the US. There are many credentialing companies who outsource all of the work overseas and supply you with a point person here in the US. Seems like a good plan except that all of your personal data is being sent overseas where there are very few protections for your data.
Physician credentialing is often used to define the process providers undergo to participate with insurance companies otherwise known as provider enrollment or insurance credentialing. Credentialing also means primary source verification which is performed by many credentialing companies across the country and is the process of validating that a provider meets the standards set forth by the employer or insurance company. When we mention physician credentialing, we are referring to the process providers must go through in order to see members of the various health plans. The payer must validate that the provider meets the training requirements to see their members. Once that’s complete, there must be a contract in place between the provider and payer which covers how the provider/organization will be paid for their services.
Regardless of your needs, PPS is equipped to assist your organization with the challenges of insurance enrollment and credentialing. We enroll thousands of providers every year with insurance plans across the country. Whether it is CAQH, Medicare, Medicaid, the commercial insurance plans, HMOs, or even the various worker’s compensation networks, our team of enrollment specialists have decades of experience and will ensure your practice receives the care and attention it deserves. As the first nationwide provider enrollment and insurance contracting company, our team of experts have the experience necessary to get the job done right the first time.
This is an excellent question and one that we answer for potential clients on a daily basis. Typically, the answer is yes, but there are always exceptions. Every practice is different and has a unique need when it comes to credentialing and contracting. Some are very complicated and in difficult markets while others are relatively simple. View our article on outsourcing here
This is a great place to start if you are working on your credentialing with the insurance companies. We also provide the checklist we use below if you’ve engaged our services to help you with the credentialing process. There are primarily two scenarios that you will encounter when approaching the insurance credentialing process which we cover.Download Established Practice Checklist
For new. practices, there are a few more things needed to complete the insurance credentialing and contracting process. This checklist can be used to ensure you have everything in place to start the credentialing process.Download New practice Credentialing Checklist
Check off the boxes and follow our timeline to ensure nothing is missed or done in the wrong order. This is completely free to any new practice. We do require validation due to competitors that can’t find enough integrity to create their own resources.