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Provider Enrollment and Credentialing

Without being credentialed physicians can't get paid, don’t make that mistake. Let the trusted experts at Ethos Infoways get you off to the right start! Our team can handle new enrollments, CAQH updates, Medicare re-validation, re-credentialing with commercial plans, expirables management and much more. Let us be your healthcare credentialing partner and help you maintaining your credentialing.

New Credentialing Services:

  • - Completion of Credentialing Applications with Various Health Plans & Follow-Up Until Credentialed
  • - Review of Contracts
  • - Assistance Obtaining CAQH ID
  • - Assistance Obtaining NPI #

Credentialing Maintenance Services:

  • - Completion of Re-credentialing Applications with Various Health Plans
  • - Medicare Re-Validation
  • - CAQH Re-Attestations
  • - Expirables Management
  • - Assistance with Denied Claims Due To Credentialing Issues

Credentialing tasks we fulfill:

  • Determine if you are eligible to apply for in-network status with various insurance/HMOs/PPOs
  • Obtain the necessary paperwork to complete the request
  • Apply to get an NPI
  • Complete on-line applications, plus CAQH and other credentialing administrations
  • Quicker Medicare Enrollment by PECOS
  • Follow up to track the status of applications and supply missing information as needed
  • Complete re-credentialing paperwork as requested by insurances/HMOs/PPOs

Credentialing tasks we fulfill:

  • We will ask you to provide several pieces of information required to apply for your credentialing and CAQH application
  • There are likely to be forms that need information that only you can fill out, such as clinical specialties, etc. We will forward these forms to you for completion
  • Many forms will require your signature. We will send you these forms to be signed trics and work analytically towards reducing denied claims
  • We will let you know what is needed and the successful completion of this process relies on you supplying the needed documents and information to us in a timely fashion
  • The credentialing process can take a long time. Please expect that for many insurances, the time from when we first inquire to when you are actually accepted into a panel and can begin seeing patients can be as long as 6 months

Contact us today

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