Contracting & Credentialing

Our complete and thorough contracting and credentialing process assists practices in understanding every detail of their contracts. Establishing a medical practice's revenue cycle starts with credentialing conducted by insurance companies to enroll a provider and place them in-network. With commercial payers introducing new plans every now and then, providers and medical practices needs to make sure they don't lose on any of the new plans. Revgage will take care of this and will get you contracted. After the process is complete, we assist you with issues that arise regarding claim denials or payors. This includes out-of-network issues, documenting effective dates, proper claim reimbursement, and more.

Credentialing and provider enrollment options:

  • Full credentialing and provider enrollment: We will complete all of the necessary payor forms and applications, CAQH, NPI enumeration, enrollment, Medicaid, and other third-party payor applications to gain in-network participation and contracts.
  • Revalitions: We can complete the task of getting a provider(s) and/or groups re-validated with Medicaid and Medicare by processing all of the necessary paperwork. In addtion, we will also re-attest your CAQH profile and handle commercial payer revalitions.
  • Re-credentialing: Every few years payers are required to re-crendential provider. Revgage Healthcare will automatically handle this for you,

Learn more about our Contracting & Credentialing process, contact us