Physicians Credentialing and Enrollment services
Physicians credentialing and enrollment services is an enrollment and attestation process were a physician is approved to participate in insurance network plan to render services for its plan members. Credentialing verifies that a physician meets standards as determined by the payer by reviewing items such as the Individuals education, certification, training, affiliation, experience, malpractice and more
Who We Can Help With Provider Credentialing and Enrollment
At BlissMD, we understand that every practice is facing a unique set of obstacles, so a one-size-fits-all approach is not the best approach. We are experienced helping providers and provider groups of various sized work through the provider credentialing process. Providers that we commonly work with include:
- Physicians who Begins the first practice after Med school
- Physicians who Change from one Practice to another
- Facility adding New Physicians to an existing Group
- Provider wants to become enrolled with a new Payer
Physician Enrollment Process followed at BlissMD Healthcare solutions
Step I
BlissMD prepares all applications including Medicare enrollment and Medicaid application. This takes approximately 5 – 7 business days once all documentation is received for the provider.
Step II
BlissMD delivers the applications. Applications will be tabbed to indicate where additional inputs and signatures are required. Provider approves and signs all the applications. This is provider dependent, but should only take about a week to complete the applications.
Step III
BlissMD receives all applications from provider, forwards them to the insurance carriers and follows the progress of each application. This step typically takes 30 – 120 days depending on the insurance carriers. In some instances, this step could take longer for certain insurance carrier.
What Enrollment and Credentialing Services We offer for physicians
- New provider affiliations and Group Credentialing
- Handling Provider letter of interest and application requisition from Payers
- Medicare and Medicaid Provider Enrollment and Credentialing
- Commercial Insurance Provider Enrollment and Credentialing
- Facility Credentialing with addition of Providers to the Facility’s ID
- Updating Provider change of information whenever required
- Handling Re-Credentialing whenever required
- Expirables maintenance
(DEA, License, Malpractice, etc) - Medicare Re-validation
- PECOS
- CAQH Registration
- NPI Registration
- Reimbursement Issues
- Managed Care Contracting Issues
Insurance Electronic Transactions Enrollment
BlissMD encourage and assist the providers to enroll in following electronic transactions for faster reimbursements and to encourage paper less environments