Credentialing

Let Legacy’s expert team of provider enrollment consultants ensure timely

and accurate provider applications

Avoid Enrollment Challenges and Billing Delays
Without successful provider enrollment, reimbursement from private & commercial carriers,
as well as Medicaid &Medicare, can be delayed or even denied.

Provider enrollment, or provider credentialing, involves more than just forms to fill out and isn’t simply a minor nuisance. It’s a complex, ongoing process – and a critically important one. Given its many steps, critical deadlines, and uncertainties, credentialing is best left to experts on the process. 

Provider enrollment requires a great deal of follow-up and constant attention to keep it on track. It’s also critical to keep in mind when hiring a new provider or starting up a new office or clinic that the enrollment process takes anywhere from 90-120 days, depending upon the payor.

Provider Enrollment: A Critical Step

Becoming enrolled with major payors before your practice or new provider begins seeing patients is a critical step to take. While not every payor requires providers to be enrolled before they begin seeing patients, many major payors, including Medicare, Medicaid, BCBS, United Healthcare, Cigna, Aetna, Tricare, and several others do.  

Let our team of expert provider consultants accelerate the provider enrollment processes. Whether you need to enroll a new provider, or just a single new payor for an established practice/provider, it is essential to complete the process swiftly and accurately. 

Worry-Free Provider Enrollment

Hiring Legacy Consulting to complete your enrollment ensures the process happens timely and accurately. In addition, you will avoid the time and frustration it takes to complete all the paperwork and make endless phone calls necessary for provider enrollment. 

Everything we do is focused on helping our clients take control over the provider enrollment life cycle and to generate more cash, faster.

Our Expertise Makes Provider Enrollment Fast and Easy

Legacy has the expertise to quickly and painlessly enroll a new physician or mid-level provider, as well as perform the ongoing re-credentialing required by most payors. Our team has many years of experience, and also stays abreast of state and federal mandates, credentialing standards, and other relevant administrative guidelines.

  • We also administer the facility contracting, Council for Affordable Quality Healthcare (CAQH) setup, ongoing quarterly CAQH maintenance, as well as any necessary hospital privileges. Keeping the CAQH database up to date with the required physician documentation facilitates faster processing for re-credentialing.

Requirements for Provider Enrollment

Tips for credentialing services

Ensure you receive reimbursement from Medicaid, Medicare, and private & commercial insurance companies – without delays or denials – by hiring Legacy Consulting Services’ experts to accelerate your provider enrollment!

What Our Customers Have to Say

Featured Articles

Credentialing

Credentialing Services

Credentialing is a key piece to any practice or hospital. If providers are not properly credentialed, they will not be paid for their services. Credentialing is a long, comprehensive process that requires consistent follow up […]

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Credentialing and CAQH Completion

One of the most important pieces to opening a new practice, or moving from one practice to another, is your payor Credentialing. This is a time intensive process most providers or office managers do not […]

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Service Spotlight: Credentialing

What exactly is physician credentialing? Essentially it is a payor’s way of ensuring that the provider has met all necessary qualifications to practice and is providing the appropriate level of care to their patients. While not […]

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Prevent Billing Delays… Let our Revenue Cycle Consultants Assume Credentialing Services.

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