Credentialing

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Initial and ongoing enrollment with payers impacts a practice’s ability to effectively bill and collect from insurance companies. Saisystems Health offers skilled credentialing services for both groups and individual providers, including:

  • Creation and management of CAQH profiles

  • Enrollment and revalidation with Medicare via the PECOS system

  • Enrollment and revalidation with commercial payers

We also enroll practices to receive electronic funds transfers, ensuring payments are received in a timely and effortless manner. Our team constantly monitors trends among various payer contracts, and advises providers on which services have the best potential for reimbursement. Our proven process is streamlined for each state’s requirements so that provider credentialing is completed in less time with higher accuracy.

Types of Clients

  • Physicians

  • Physician assistants

  • Nurse practitioners

  • Podiatrists

  • Physical and occupational therapists

  • Behavioral health professionals

  • Skilled nursing facilities

  • Family practices

  • Urgent care facilities

  • Gastroenterologists