About Our Credentialing and Contracting Services in Connecticut

Understanding the nuances of healthcare provider credentialing is easier said than done. Assisting medical practitioners in Connecticut for the past 15 years, we offer our experts to help you navigate the complexities of contracting with top insurance companies efficiently and without delay. Our decades-long experience helps simplify payer enrollment services for physicians, doctors, nursing practitioners, and other medical care staff.

Outsourcing our credentialing and enrollment services in Connecticut and across the USA saves your practice valuable time by eliminating weeks or even months of repetitive administrative tasks. This step helps your team focus solely on patient care and improving their lives with outstanding care. By leveraging the excellence of our professionals, you can easily accelerate revenue faster with a streamlined process. With our assistance, you may also reduce stress, let us carry the burden of negotiating with different insurance companies on your behalf, and let you increase the patient pool on favorable terms.

Medical Credentialing Services

Comprehensive Suite of Our Medical Credentialing Services For Providers

Medicare and Medicaid Provider Enrollment

With our help, providers practicing in Connecticut may offer their services to beneficiaries of the Medicare and Medicaid programs. We assist all medical specialties in government program enrollment so they can treat all patients with these insurance programs and increase their revenue.

Commercial Insurance Credentialing

Besides helping healthcare providers enroll in government health insurance programs, we offer them enrollment in their desired commercial insurance companies. This allows them to fully benefit from higher per-patient earnings with out-of-network contracting on favorable and lucrative terms, strengthening the revenue cycle.

NPI Registration (Type 1 and Type 2)

Leveraging our expertise, providers can easily obtain NPI (National Provider Identifier) numbers. We help practices looking for type 1, working as solo practitioners, and type 2 for group practices and large healthcare organizations.

CAQH Registration and Maintenance

We help new and existing providers register and maintain their CAQH profiles — a critical step for insurance enrollment, ensuring their information is accurate, up-to-date, and readily accessible to payers.

MCR DMEPOS Enrollment

Besides helping physicians and surgeons based in Connecticut, we offer our enrollment and payer contracting to orthotics specialists and facilitate the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) providers in the registration process.

Hospital Privileges

Providers looking to offer hospital referrals and privileges in treating their chronic illness patients may enroll for this service using our expertise. With our assistance, providers can readily admit their patients to an IPD (inpatient department) at an affiliated hospital and expand the scope of their medical care services.

Contract Negotiation

Our provider registration and enrollment staff help healthcare practitioners easily negotiate with commercial and government insurance payers and enroll in their different medical care programs with the best and most favorable terms to get suitable offers that increase their earnings per patient.

Revalidation & Re-credentialing

We offer our services to new providers and facilitate established and older practices in maintaining their active status. We help providers obtain revalidation and credentialing with insurance companies before their current contract expires.

Providers State License

Providers may obtain and renew their state medical practice license with our help, which ensures they obtain this regulatory requirement within a defined time without waiting for a long time and lengthy paperwork. We help healthcare professionals comply with state and federal regulations.

DEA Certificate & Renewal

Healthcare practices dealing with controlled substances may get our help in obtaining and renewing DEA (Drug Enforcement Administration) licenses for treating patients suffering from terminal illnesses and mental health problems. Providers who receive this certificate may easily prescribe narcotics, opioids, and other controlled substances with proper authorization.

CLIA Registration

Our comprehensive suite of credentialing and enrollment services also entails the CLIA registration process, which allows providers with this certificate to offer diagnostic and laboratory services to their patients and bill them easily. Obtaining this certificate enables providers to provide ease of access to their patients by offering medical and diagnostic services under one roof.

Why Outsource Healthcare Credentialing Services to Us?

Benefits of Our Physician Credentialing Services

  • Complete documentation and submission handling
  • Dedicated credentialing experts for the best results
  • Complete solutions for in-network and out-of-network enrollments
  • 50% more cost-effective than hiring an in-house credentialing team
  • Easy and compliant solutions for quick results
  • Accessible to all practices in Connecticut
  • Trusted by thousands of providers
  • 15+ years of experience
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Frequently Asked Questions (FAQs)

The entire credentialing, enrollment, and contracting process varies from carrier to carrier. Government and commercial insurance programs may take at least 90 days to 120 or more, depending on the specialty and medical care services offered to patients.

The enrollment process for the Medicare health insurance program typically takes 2 to 3 months, and the length varies between states.

While we cannot override payer timelines, our meticulous credentialing process significantly reduces delays caused by application errors or omissions.

Revalidation for Medicare-enrolled providers is compulsory every 5 years; however, DMEPOS suppliers must revalidate every 3 years. Similarly, individual clinical practitioners can complete this process using the CMS855I paper application or choose the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) for online revalidation.

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