Medical credentialing involves assessing a physician’s or consultant’s education, training, work history, authorization, compliance history monitoring, and any past misconduct before granting them access to a system or allowing them to practice at a hospital. It is a mandatory process for insurance setups, healthcare groups, and hospitals. While credentialing has been a longstanding practice, recent changes have significantly evolved the process. Modern credentialing now entails gathering diverse information to thoroughly evaluate each medical professionals including:

• Certificates
• Education and training
• Licensing
• Specialty Qualifications
• Residency

MedFluence’s Medical Credentialing Services

MedFluence’s medical credentialing services offer a significant boost to your revenues by serving as the primary verification source for insurance companies. We authenticate practitioners’ education, training, capability, and experience, ensuring a thorough and accurate credentialing process. Our experienced professionals have consistently demonstrated that proper, specified, and customized credentialing can swiftly maximize reimbursement for healthcare providers. When you seek credentialing assistance by submitting an application, our team meticulously reviews all your documents and submits them to primary insurance channels. We are consistently available to assist providers, whether at the outset of their practice or in managing ongoing credentialing tasks.

MedFluence’s Credentialing Services Can Help You

• The process of verifying a healthcare provider’s skills, training, licensing, and qualifications.
• Enrolling a healthcare provider with different insurance plans.
• Granting specific rights and permissions to a healthcare provider after approval.
• Acquiring and validating the required licenses for practicing medicine.
• Confirming additional qualifications or certifications related to a specific medical specialty.

Our specialists offer comprehensive credentialing services, handling everything from data collection and form filling to processing applications and manually tracking the progress until your practice is successfully registered with insurance providers. Our credentialing company is designed to cater specifically to your unique requirements, ensuring full compliance with rules and authoritative laws. MedFluence covers all aspects of credentialing, including provider, insurance, physician, and hospital credentialing.

Our automated software, combined with a team of qualified professionals, streamlines the management and processing of credentialing. MedFluence provides a budget-friendly, efficient, and accurate credentialing solution that merges meticulous information with the latest technologies. Our credentialing specialists are well-versed in the requirements and arrangements of various payers, ensuring a positive and successful credentialing process.

Benefits of MedFluence’s Medical Credentialing Services

• Our professionals handle and organize all required documentation for medical credentialing.
• We streamline the entire process, from primary verification to compliance retention.
• Complete and accurate documentation achieved through centralized credentialing.
• Ensuring a minimal time duration for the validation process.
• Our professional team provides status reports, keeping you informed about the process with each payer.
• The MedFluence team actively maintains and updates your CAQH profile.
• MedFluence offers provider enrollment and credentialing for major insurances like Aetna, BCBS, Anthem, CIGNA, Humana, TriCare, United Healthcare, and others.
• Bringing about confirmations from all payers and undertaking necessary follow-up actions.
• Ensuring your credentials are kept maintained and up-to-date annually.
• Our experts work around the clock to promote your progress and achievements, making you accessible to both new and existing potential patients for enhanced financial growth.
• Granting and reviewing detailed clinical freedoms and parallel health staff members.
• Through our specified process, credentialed with an insurance company, facilitating easier reimbursement.
• Our credentialing representatives provide periodic updates, ensuring systematic transparency throughout the entire credentialing process.

Who We Help With Start-Ups & Medical Credentialing

• Physician Assistants
• Cardiologist
• Nurse Practitioners
• Neurologist
• Audiologists
• Physicians
• Labs, ASCs & Imaging Facilities
• Hospitals & Universities
• Urgent Care Facilities Provider
• Behavioral Health Providers
• Physical, Occupational & Speech Therapists
• Neonatologist
• FQHCs & Rural Health Clinics