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
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
We searched extensively for the right credentialing and billing partner for our telepsychiatry startup, ultimately deciding that Legacy was the most knowledgeable and cost efficient option for us and that decision has been rewarded on an almost daily basis. Donna and her team are experts in the credentialing and contracting space, able to not only get our providers in network with major insurance payers as well as FHCPs but have become our go-to source of guidance as we negotiate with the payers and plan the optimal way to structure our organization to make it as accessible to those who are paying with insurance as possible.
They are professional, results oriented, swift and personable. I would recommend the Legacy team to anyone who is looking to initiate or optimize their insurance credentialing, contracting or billing operation!
Intern, Cerebral Medical Group
Based on the recommendation of a colleague, we reached out to Legacy Consulting to help us with the credentialing for our new surgeon. Donna, Jennifer and the rest of their team exceeded our expectations in getting all the major payors provider numbers prior to our new doctor starting. We will definitely use them again and would highly recommend them for all of your credentialing needs.
Administrator, Surgical Clinic PC
We have used Legacy Consulting for several credentialing projects. They have been extremely knowledgeable, thorough and timely in their responses. They have taken a challenging process and made it streamlined and easy for me as an administrator. We highly recommend them!