Payers Connect

Credentialing Services for
Healthcare Professionals

We make it easy to get credentialed with
major insurance companies.
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Documentation

The credentialing process begins with documentation. This involves gathering all of the necessary information from the provider, such as professional licenses, work history, certifications, malpractice insurance, references, practice ownership details, W-9, background checks, bank statements, NPI, Federal Tax ID, EIN, and CAQH ID.
Payer Submission

Payer Submission

Once all of the required documentation has been collected, the next step is to submit applications to each insurance payer that the provider wants to be credentialed with. Each payer will have its own specific credentialing application and requirements, so it is important to carefully review the instructions for each one.
Ensure Enrollment

Ensure Enrollment

Once the credentialing applications have been submitted, it is important to follow up with each payer to ensure that the applications have been received and that all of the required documentation is complete. If there are any missing or incomplete items, the payer will notify the provider and the credentialing process will be delayed until the items are submitted.
Re-Credentialing

Updates and Re-Credentialing

Provider credentials must be updated and renewed on a regular basis. The frequency of re-credentialing varies from payer to payer, but it is typically required every one to three years. The provider will need to submit updated documentation and complete new applications during the re-credentialing process.
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About Us

Top-Notch Medical Credentialing Services Company

Healthcare providers must maintain their credentials with insurance companies and government agencies to participate in insurance networks and guarantee their patients full access to benefits. However, the credentialing process can be complex and time-consuming, involving a lot of paperwork and coordination. It is essential to complete the credentialing process on time and accurately to avoid denied participation, loss of revenue, and patient dissatisfaction.

Payers Connect has over 3 years of experience helping healthcare providers get credentialed with carriers on time. We have established relationships with major insurers and understand their enrollment processes inside and out. We use our expertise and online credentialing programs to help you maintain your enrollment information and ensure a smooth credentialing process.

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Weekly Timetable

  • Monday
    9:00am–6:00pm
  • Tuesday
    9:00am–6:00pm
  • Wednesday
    9:00am–6:00pm
  • Thursday
    9:00am–6:00pm
  • Friday
    9:00am–6:00pm
  • Saturday
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  • Sunday
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+1 (832) 639-3922

Premier Physician Credentialing Services

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We help physicians and other healthcare providers navigate the complex and time-consuming process of obtaining and maintaining credentialing with insurance companies and other payers.
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Medicare and Medicaid Provider Enrollment

Medicare and Medicaid are two of the largest healthcare insurance programs in the United States. Millions of Americans rely on these programs for their healthcare coverage. If you are a healthcare provider, you must be enrolled in Medicare and Medicaid in order to bill these programs for your services.
Payers Connect can help you with the Medicare and Medicaid provider enrollment process. We will walk you through the steps involved and help you complete all of the necessary paperwork. We will also negotiate on your behalf with the Medicare and Medicaid programs to ensure that you are reimbursed at a fair rate.
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CAQH Registration and Enrollment

The Council for Affordable Quality Healthcare (CAQH) is a non-profit organization that provides a centralized credentialing service for healthcare providers. CAQH offers a variety of services, including registration, enrollment, and credentialing verification.
Payers Connect can help you with the CAQH registration and enrollment process. We will create a CAQH profile for you and submit it to the CAQH database. We will also track the status of your enrollment and notify you when your enrollment is complete.
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DEA Registration and Renewals

The Drug Enforcement Administration (DEA) is a federal agency that regulates the distribution and use of controlled substances. If you are a healthcare provider who prescribes controlled substances, you must be registered with the DEA.
Payers Connect can help you with the DEA registration and renewal process. We will complete the necessary paperwork and submit it to the DEA on your behalf. We will also keep track of your DEA registration expiration date and send you a reminder when it is time to renew your registration.
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NPI Registration

The National Provider Identifier (NPI) is a unique 10-digit number that is assigned to healthcare providers. The NPI is used to identify healthcare providers in all healthcare transactions.
Payers Connect can help you with the NPI registration process. We will complete the necessary paperwork and submit it to the National Provider System (NPI Registry) on your behalf. We will also send you a copy of your NPI number once it has been assigned to you..

Unique Features of Payers Connect Credentialing Services

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These unique features set Payers Connect apart, providing healthcare providers with a comprehensive, efficient, and client-focused credentialing service that goes beyond the standard offerings in the industry.

Tailored Support

We customize our services to fit each healthcare provider's specific needs, ensuring our assistance aligns perfectly with individual requirements for a quicker credentialing process.

Real-time Tracking

You can check the progress of your credentialing applications in real-time. This feature gives you clear visibility and eliminates uncertainties during the enrollment process.

Thorough Compliance Checks

We do in-depth compliance checks to ensure all your submitted information meets the latest regulatory standards. This proactive approach minimizes the chance of errors for a smoother credentialing experience.

Assigned Specialist

Every client gets a dedicated credentialing specialist as a single point of contact. This ensures clear communication, quick issue resolution, and a personalized experience for a strong partnership.

Educational Resources

Acknowledging the complexity, we provide simple educational resources and workshops. This helps healthcare providers stay informed about industry updates and best practices, making it easier to navigate credentialing requirements.

Data Security Measures

We take data security seriously. Our advanced measures protect sensitive information throughout the credentialing process, ensuring your data is kept safe and confidential.

Quick Response

We understand the urgency of credentialing. Our team is committed to responding rapidly, whether it's addressing inquiries, resolving issues, or expediting applications.

Continuous Improvement

We're always looking to improve. Regular evaluations and refinements in our procedures mean you benefit from the latest advancements and best practices in credentialing without unnecessary complexity.

Email

info@payersconnect.com

Phone

+1 (832) 639-3922

Address

15 Broadway Lynn Massachusetts 01904