Credentialing

Our Comprehensive Physician Credentialing Service

Primary Source Verification

We ensure accuracy and compliance with regulatory standards, as we authenticate education, training, licensure, certifications, and other relevant information directly from the issuing institution or authority.

Provider Enrollment

We assist healthcare providers in enrolling with insurance networks, Medicare, Medicaid, and other payer organizations by completing and submitting enrollment applications.

Ongoing Monitoring and Re-credentialing

By proactively managing credentialing requirements and monitoring changes, we help healthcare organizations maintain regulatory compliance and streamline administrative processes.

Hospital Privilege & Credentialing

Careplus provides comprehensive support for hospital privilege credentialing. Our expert team navigates credentialing requirements, expediting the approval process and enabling healthcare organizations to focus on delivering quality care without administrative burdens.

Payer Contracting

License Verification

We assist healthcare organizations and providers in the application process for various licenses essential for practice, including:

Physician Licensing
Non-Physician Licensing
DEA Licensing
CDS Licensing
CLIA Licensing
Group Licensing

Credentialing Audit

CarePlus offers on-demand Credentialing Audits, ensuring a thorough and timely examination of credentials to maintain compliance and accuracy for healthcare providers.

CarePlus Optimizes Provider Enrollment and Credentialing for Faster Reimbursements.

To guarantee a smooth enrollment process, our team thoroughly reviews and verifies all necessary documentation before submitting your information to the payer. We meticulously check licenses, certifications, group names, Medicare/Medicaid TINs, malpractice insurance, and other details to ensure your application is accurate and accepted on the first submission.

In addition to managing your initial enrollment, we also maintain your information on CAQH, keeping you updated on any re-enrollment requirements or expirations. Acting as your advocate and liaison with payers, we strive to make the enrollment process effortless and stress-free for you.

Ensure Accuracy and Timeliness with Our Comprehensive Provider Enrollment and Credentialing Services

Provider enrollment is essential for healthcare providers aiming to secure reimbursements for their services. By enrolling in insurance networks, providers can establish in-network agreements, often leading to higher reimbursement rates compared to out-of-network services. Additionally, enrollment enhances a provider’s professional reputation, broadens their patient base, and contributes to increased revenue and long-term financial stability.

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