Credentialing Services
You’ve made the decision to be in network with one or more insurance companies! That’s great… but what are the next steps? Maybe you’re limited on time. Or maybe you’re not familiar with the credentialing process and jargon. Maybe both. Crown’s credentialing consultants would love to partner with you in completing this time consuming task.
We assist with enrollments for individual providers as well as group entities. Some of the applications we assist with include:
- NPPES Registration
- New Provider Enrollment Applications
- New Provider Re-assignment
- Provider Request for Participation
- Provider Reactivation and Recredentialing
- Additional Location Applications
- Address Changes and Demographic Updates
- ACH/EFT Payer Enrollment Applications
- CAQH Reattestations
We have experience using the following systems for credentialing purposes (but will also complete paper applications if required by the payers):
- CAQH – Council for Affordable Quality Healthcare
- I&A – Identity and Access Management System
- PECOS – Provider Enrollment, Chain and Ownership System
- NPPES – National Plan and Provider Enumeration System (CETC can obtain an individual or groups initial NPI enrollment)
Credentialing services are available for providers located in the southeastern region for both individuals and group practices, for all healthcare disciplines (physicians, nurse practitioners, physician assistants, occupations therapists, physical therapists, social workers, psychologists, LPCs, etc).
Whether you are about to graduate, you have an established practice that wishes to update your networks, or you are transitioning to a new practice, we can assist with all of your needs/changes as they occur. We offer different packages to include as much or as little help you need.
Crown’s credentialing specialists offers 10 plus years of credentialing experience. Some specialties that we provide credentialing for include (but are not limited to) are:
- Psychiatry (including social workers, LPCs, psychologists, psychiatrists, nurse practitioners)
- OBGYN
- Dermatology
- Primary Care Physicians
- Cardiology
- Orthopedics
- Hospitalists
- And more!
If you are interested in learning more please contact us by phone, submitting a form on the website, or fax. We look forward to working with you!