Credentialing

Get credentialed quickly and accurately with payors to avoid

enrollment challenges and billing delays

Without successful credentialing, provider reimbursement for medical services can be delayed or even denied.

Provider credentialing is more than just forms to fill out or a minor nuisance. It’s a complex, ongoing process and a critically important one, at that. Provider credentialing is essential for your practice, and given its many steps, critical deadlines and uncertainties, it’s best left to experts on the process. A tedious process, credentialing takes a great deal of follow-up and constant attention to stay on track. Depending upon the payor, credentialing processes take anywhere from 60-120 days.  It is critical to keep this in mind when hiring a new provider or starting up a new office or clinic.

Credentialing: A Critical Step

Becoming credentialed with major payors before your practice starts to see patients is a critical step a provider can take. While not every payor requires a provider to be credentialed before they begin to see patients, many major payors, including Medicare, Medicaid, BCBS, United Healthcare, Cigna, Aetna, Tricare, and several others do.  Whether you need to credential a new provider, or just a single new payor for an established practice/provider, it is essential to complete the process swiftly and accurately.  Everything we do is focused on helping our clients take control over the credentialing life cycle and to generate more cash, faster.

Our Expertise Makes Credentialing Fast and Easy

Legacy has the expertise to quickly and painlessly credential a new physician or mid-level provider, as well as perform the ongoing re-credentialing required by most payors. We also administer the facility contracting, CAQH setup, ongoing quarterly CAQH maintenance, as well as any needed hospital privileges. Keeping your online CAQH database up to date with physician and other documentation ensures your ability to use it to facilitate faster processing for re-credentialing. 

Requirements for Credentialing

Tips for credentialing services

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