Insurance Credentialing

Healthcare Insurance Credentialing Services has years of experience and established relationships with many of the top insurance companies.

Our goal is to assist our clients in overcoming the many challenges that go into being credentialed and approved as a insurance provider. Through years of experience we have developed several different approaches for health care agencies to be approved that would normally not be available. We pride ourselves with our attention to detail, our understanding of policy and procedures required by insurance companies for personnel to be credentialed. No one has a greater understanding of the Council for Affordable Quality Healthcare (CAQH) requirements and expediting applications for approval.

CAQH

We have worked with every major insurance company in North America, assisting our clients with being credentialed and approved to provide services.

We work with the following providers:

  • Home Care Agencies
  • Home Health Care Agencies
  • Behavioral Health Agencies

We work with the following independent providers:

  • Social Workers (LICW)
  • Licensed Mental Health Clinicians
  • Registered Nurses / APRN
  • Psychiatrists
  • Psychologists
  • Physicians
  • Physical Therapists
  • Occupational Therapists
  • Speech Therapists
  • Nurse Practitioner

The process to participate in health plan networks and receive in-network reimbursement is different for each health plan. All have a contracting and credentialing process that is referred to as “Provider Enrollment”.  The process varies with some requiring standard forms to be completed while others require online credentialing applications.

Call us and find out why we are known as the industry experts in the area of Credentialing services. We have completed thousands of the credentialing applications. Our team takes a hands-on approach by providing the constant follow-up and needed intervention to ensure all applications are being processed in a correct and timely fashion

To speak to one of our Credentialing specialists please call 873-393-0411

We are credentialing specialists for Home Health & Hospice Agencies

with all major insurance companies such as

CompanyCompany
AetnaConcentra Health Services
AllegianPacificare
AmbetterHumana
AmerigroupDeaconess Health Plans
AnthemHealthnet
AssurantVeterans Choice(No Credentialing
Verification)
BCBS(Blue Cross Blue Shield)Geisinger Health Plan
BeaconFreedom HealthCare
CareFirstMagellan Health Services
CelticareValue Options
Cenetene CorporationVantage HealthPlan
CenpaticoKeystone HealthPlan
Champ VAUltimate HealthPlan
CIGNASenior Whole Health
CoventryTotal Health Care
Health New EnglandTribute Health Plan
Kaiser PermanenteNetwork Health
Neighborhood HealthOlder Americans
Shine(Florida)UPMC Health
Highmark HealthFirst Priority
Superior HealthMultiplan
TricareParamount Health
TuftsFallon Community
UnicarePeoples Health
United HealthCareMolina
WellCareHealthFirst
Workers Comp(No Credentialing
Verification)