Accurate and Compliant Billing
Provider Credentialing
Provider Credentialing
Face it, nearly 85% of healthcare providers encounter delays in credentialing, leading to significant revenue loss and administrative headaches. Furthermore, 50% of credentialing applications are initially rejected due to errors or missing information. Our services are here to change that narrative.
At Reliance Medical Billing Services, we understand the complexities and challenges of the credentialing process for healthcare providers. Our comprehensive credentialing solutions are designed to simplify these processes, allowing providers to focus on delivering exceptional patient care. Here’s a detailed look at the credentialing services we offer:
The Reliance® Difference
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Professional Communication
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Seamless Billing Experience
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Customer engagement matters
Initial Credentialing
We assist healthcare providers in obtaining their initial credentials with all commercial insurance providers (Aetna, Anthem, BCBS, Cigna, Humana, TriCare, United Healthcare, and many more). Our team handles all the paperwork and follows up with the necessary entities to guarantee a smooth and timely process.
- Expert handling of all documentation
- Timely follow-ups to expedite the process
- Comprehensive support from start to finish
Recredentialing
To maintain active status with insurance companies, providers must periodically recredential. We manage this process, making sure that all deadlines are met and that providers remain in good standing.
- Proactive management of recredentialing timelines
- Detailed tracking of all necessary documentation
- Assurance of compliance with all requirements
CAQH Profile Management
The Council for Affordable Quality Healthcare (CAQH) is a crucial part of the credentialing process. We help providers create and maintain their CAQH profiles, making certain that all information is accurate and up-to-date.
- Accurate and timely profile updates
- Regular audits to ensure compliance
- Simplified management of CAQH profiles
Medicare and Medicaid Enrollment
Navigating the complexities of Medicare and Medicaid enrollment can be challenging. We assist providers in enrolling with these programs, making sure compliance with all regulations and requirements.
- Expert guidance through the enrollment process
- Detailed understanding of regulatory requirements
Core Solutions
