PPP Services
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PPP Services

Let us navigate the difficult world of Payer Enrollments, Contracting and Credentialing for you.

Call us at 757-771-0007 

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Professional Practice and Provider Services

What We Do

PECOS and NPPES

PAYER ENROLLMENTS

PAYER ENROLLMENTS

Our team specializes in Pecos (Medicare) and NPPES (National Plan & Provider Enumeration System) applications, enrollments, registrations and revalidations.  We do everything from submitting an application for Type I & II NPI, filing for Medicare participation, following-up and, finally, giving the good news of the approval!

PAYER ENROLLMENTS

PAYER ENROLLMENTS

PAYER ENROLLMENTS

Whether your practice is In-Network or chooses to stay Out-of-Network, our dedicated Enrollment team will complete and file the payer's application.  With our extensive experience, we ensure correct information, making ours one of the fastest turn-around times in the industry.

PAYER CONTRACTING

PAYER CONTRACTING

PAYER CONTRACTING

We will conduct research and ensure an effective and popular mix of payers for your Group or Practice.  

Let our team use their experience to contract your Group or Practice with Commercial payers such as Aetna, BCBS and UHC, and with Medicare and Medicaid replacement plans.  

Some payers such as Humana, Aetna and Cigna will close their pan

We will conduct research and ensure an effective and popular mix of payers for your Group or Practice.  

Let our team use their experience to contract your Group or Practice with Commercial payers such as Aetna, BCBS and UHC, and with Medicare and Medicaid replacement plans.  

Some payers such as Humana, Aetna and Cigna will close their panels for certain specialties.  In these cases, we will submit an appeal, which includes patient success stories and your practice's specialized services.  Overturning a closed panel decision is difficult, but our team of experts makes it possible!

CAQH REGISTRATION

PAYER CONTRACTING

PAYER CONTRACTING

CAQH is more important now than ever - many more payers require CAQH registration in order to credential your providers and get them In Network.  Let us take on the burden of this tedious task for you.  Once we receive the necessary provider information and documentation from your practice, we will quickly and accurately create and maintain your provider's CAQH profile.

WHO WE WORK WITH

  • Individual Practitioners - Whether you are a Physician, Nurse Practitioner, Chiropractor, CRNA or other healthcare provider, we will get you enrolled.
  • Groups - If you have a group of providers who work at your practice as Independent Contractors, we know what to do to get that group enrolled.
  • Practices - Our team of experts knows exactly what to do to get your practice enrolled - the FIRST time!
  • And others 

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