Protouch Medical Billing helps healthcare providers obtain credentialing with both commercial and non-commercial insurance providers, ensuring seamless enrollment and compliance.
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Provider Enrollment & Credentialing
Launching your practice and generating revenue begins with timely credentialing. Our expert team ensures that you are swiftly authorized with all major payers, from initial document gathering to maintaining your data in line with policies and your CAQH profile.
We handle the entire credentialing process—from evaluating your application to continuously monitoring your credentials—so you can focus on patient care without delays.
Credentialing can be complex and time-consuming, but with Protouch Medical Billing, the process becomes hassle-free. Our experienced team works diligently on your behalf, so you get credentialed efficiently.
How We Ensure Smooth Credentialing:
- Full compliance with state and federal regulations.
- Persistent follow-up on applications until enrollment is complete.
- Expert handling of all documentation for insurance credentialing.
Key Services
Medical Credentialing
Whether you're a new provider or seeking recredentialing, we take the burden of navigating the complex provider enrollment process off your shoulders.
Recredentialing
We continuously monitor and verify your credentialing status to ensure you are recredentialed on time, avoiding unnecessary insurance denials.
Licensing Support
We assist you in obtaining the necessary certifications, licenses, and accreditations for smooth enrollment with insurance providers.
Electronic Transactions Enrollment
We facilitate your authorization for EDI, ERA, and EFT transactions with all payers, ensuring a seamless flow of electronic transactions.
IPA Enrollment
Our team helps you enroll through Integrated Provider Associations (IPA), even with closed panels, ensuring your connection with key insurers.
Contract Renegotiation
We negotiate on your behalf to improve reimbursement rates and maximize the financial potential of your practice.
Accreditation Services
Our accreditation services help your practice gain formal recognition, reducing enrollment delays and ensuring smooth dealings with insurance agencies.
Expert Credentialing Specialists
At Protouch Medical Billing, we ensure that your provider enrollment process is streamlined, avoiding delays in claims submissions and ensuring quick insurance approvals. Whether you need Medicare or Medicaid enrollment, we cover it all.
Our team of specialists manages everything from documentation collection to sign-ups with both commercial and non-commercial insurances. We provide full visibility into your submitted applications, help establish insurance portals, and ensure that your process complies with industry standards, such as NCQA and DHFS.
Why Choose Protouch Medical Billing for Credentialing?
- Industry Experts: Our credentialing team has vast experience managing physician and provider enrollments, handling even the most complex verification issues.
- Time & Cost Efficiency: Our process is designed to minimize administrative burdens, allowing you to focus on patient care while we handle the paperwork.
- End-to-End Service: From application status updates to prompt customer service, we ensure a smooth credentialing journey.
Focus on Patients, Leave Credentialing to Us
We understand the critical importance of timely credentialing in starting or sustaining a practice. Let Protouch Medical Billing handle your provider credentialing and contracting needs, ensuring you meet all requirements for contracting with payers. Reach out today to learn more or request a free consultation.
Know MoreAdditional Value-Added Services
At Protouch Medical Billing, we go beyond credentialing to provide industry-leading solutions designed to maximize your reimbursements and simplify your practice management.
Maximized Reimbursement with TMS Credentialing
We structure contracts to secure the best possible reimbursement rates for your services. Our approach is transparent, and we provide regular, comprehensive updates throughout the credentialing process.
New Practice Credentialing
For new providers, we offer a comprehensive credentialing service that ensures you get enrolled with all major payers, helping you build a successful practice from day one.
