Medical Credentialing Services
Get rid of your credentialing woes and get enrolled with great efficiency
Sybrid MD’s Physicians Credentialing Service is a crucial step to avoid delayed submission of healthcare claims, crossing filing limits, wastage of time and loss of revenue. Credentialing process is managed by our experienced team that help you navigate the process of provider enrollment and MD credentialing.
Our Medical Credentialing Services Include:
Credentialing & Re-credentialing
We obtain eligibility verification from insurance companies prior to the patient’s appointment. This ensures that there are no insurance denials.
A team that completes the credentialing details and submits it to commercial Insurances, Medicare and Medicaid, as requested by healthcare physicians.
Sybrid MD’s Physician Credentialing Services ensure compliance with the National Committee for Quality Assurance (NCQA) and the Department of Health and Family Services (DHFS.
Crucial Follow Ups
Our medical billing and credentialing services ensure that all follow-ups are performed properly for a smooth enrollment.
Create and update CAQH & PECOS credentialing portals
Contracting Issues & Data Integrity
We resolve contracting issues and maintain data integrity through audits
Credentialing: Did you know?
Medical credentialing services usually involves gathering information about the physician’s background and qualifications through a formal application that is verified against reliable sources like the National Practitioner Data Bank or the American Board of Medical Specialties.
The Coalition for Affordable Quality Healthcare has offered a uniform MD credentialing program for about 15 years, and this program has been adopted by most payers in the United States.
Typically, when contacted by a hospital, HMO, or employer, physicians are required to answer 800 questions. Information includes items ranging from licensure to practice history in the last five years
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