Insurance Credentialing Services

Our goal is to assist our clients in overcoming the many challenges that go into being credentialed and approved as a insurance provider.

Through years of experience we have developed several different approaches for health care agencies to be approved that would normally not be available.

We pride ourselves with our attention to detail, our understanding of policy and procedures required by insurance companies for personnel to be credentialed.

No one has a greater understanding of the Council for Affordable Quality Healthcare (CAQH) requirements and expediting applications for approval.

We work with the following providers:

  • Home Care Agencies
  • Home Health Care Agencies
  • Behavioral Health Agencies

We work with the following independent providers:

  • Social Workers (LICW)
  • Licensed Mental Health Clinicians
  • Registered Nurses / APRN
  • Psychiatrists
  • Psychologists
  • Physicians
  • Physical Therapists
  • Occupational Therapists
  • Speech Therapists
  • Nurse Practitioner

To speak to one of our Credentialing specialists please call 888-850-6932

The process to participate in health plan networks and receive in-network reimbursement is different for each health plan. All have a contracting and credentialing process that is referred to as “Provider Enrollment”.

The process varies with some requiring standard forms to be completed while others require online credentialing applications.

Call us and find out why we are known as the industry experts in the area of Credentialing services. We have completed thousands of the credentialing applications.

Our team takes a hands-on approach by providing the constant follow-up and needed intervention to ensure all applications are being processed in a correct and timely fashion.

We are credentialing specialists for Home Health & Hospice Agencies with all major insurance companies such as

Aetna Concentra Health Services
Allegian Pacificare
Ambetter Humana
Amerigroup Deaconess Health Plans
Anthem Healthnet
Assurant Veterans Choice(No Credentialing Verification)
BCBS (Blue Cross Blue Shield) Geisinger Health Plan
Beacon Freedom HealthCare
CareFirst Magellan Health Services
Celticare Value Options
Cenetene Corporation Vantage HealthPlan
Cenpatico Keystone HealthPlan
Champ VA Ultimate HealthPlan
CIGNA Senior Whole Health
Coventry Total Health Care
Health New England Tribute Health Plan
Kaiser Permanente Network Health
Neighborhood Health Older Americans
Shine(Florida) UPMC Health
Highmark Health First Priority
Superior Health Multiplan
Tricare Paramount Health
Tufts Fallon Community
Unicare Peoples Health
United HealthCare Molina
WellCare HealthFirst
Workers Comp(No Credentialing Verification)