CREDENTIALING

Credentialing

When starting the new practice or changing states, a medical professional must complete a review of their education and training, residency, license, specialized certificates, qualifications, career or practice history, and so on. Medical credentialing and privileging typically comprises of several stages, such as provider credentialing, provider enrollment, and privileging, among others. We provide credentialsing services to our esteemed clients and assure their happiness by adhering to the credentialsation standards and criteria established by the National Committee of Quality Assurance (NCQA). Our knowledgeable staff will provide the following Credentialing services.

  • Enrollment of provider with payers (Government & Commercial)
  • Creating ERA/EFT set up with insurance.
  • Confirmation of Enrolment status with carriers & plans
  • Re-Certification & Revalidation with Government and Commercial payers.
  • Creating web portals of the carriers.
  • Maintenance of provider’s data
credentialing
credentialing

The medical credentialing process is an important part of developing a practise that delivers the highest level of patient care. It is necessary for insurance reimbursement and to ensure your patients are receiving high-quality care from qualified providers.

Our Credentialing service is the best in its industry
  1. Accelerate the enrollment procedure.
  2. Credentialing assistance is available 24/7.
  3. Experts in network credentialing verification are available.
  4. Accelerate your credentialing TAT.
  5. Mitigate non-responder rates.
  6. On the dashboard, get fast notifications on sanctions, credentials, and policy updates.
  7. Maintain a record of your documents and maintain your CAQH profile up to date.
  8. TopMed Solution allows you access to your evidential documents, application files, status reports, proceedings, and contracts.
  9. Get your re-credentialing/ revalidation done on-time.
  10. For new practices, specialized credentialing solutions are available.
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TopMed Solution is a medical billing company that provides a full range of medical billing services. Outsourcing medical billing services can help practices and medical practices to lower overhead costs while increasing reimbursements and decreasing claim denials and refusals whilst increasing patient satisfaction.

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