Achieve Your Provider Enrollment Goals

We understand the importance of submitting accurate details to payors the first time to prevent delays in approvals and reimbursement. Obtaining the proper provider effective date is imperative to securing reimbursement. Our team understands the importance of timely and error- free submissions.

Payors utilize a variety of methods to communicate with the healthcare provider regarding incomplete or additional information requirements needed by a set deadline to finalize applications. It is necessary to follow up with the payer and verify if notifications are sent until the approval generates. Our team is fully aware of standard payor application approval time frames and take necessary actions to submit additional information as needed. 

Payors consistently make errors that interrupt reimbursement. Approval letters don’t always reflect the effective date submitted on the payer applications. Our team not only collects and stores the approval letters, but we also validate the effective date to ensure it aligns with the submission. 

Complying with payor recredentialing deadlines is critical. Payors require re-enrollment when recredentialing deadline dates are not met. This type of oversight stops reimbursement and creates a negative experience for patients. Our team is dedicated to reviewing payor policies to determine the frequency of recredentialing.