Our team of experts guides you through identifying the required credentials and enrollment prerequisites and facilitating and securing vital agreements with insurance companies. With our provider enrollment and credentialing services, we guarantee the accuracy and completeness of your information, ensuring your practice remains aligned with the reimbursement criteria set by insurance companies.

Our Credentialing & Enrollment Process Involves

Launching your practice and kickstarting revenue generation marks the initial milestone in your journey to success. Our dedicated credentialing team expedites your authorization process across all payers, from initial application assessment to meticulous maintenance of your data and CAQH profile.

Our streamlined medical credentialing process begins by collecting essential provider enrollment documents and seamlessly submitting them to insurance companies on your behalf. Here’s how we ensure a smooth and efficient process:

1. Gather all necessary data and documents required for credentialing applications from physicians.
2. Securely store documents centrally on our robust document management systems.
3. Identify key payers for your practice’s claims and initiate communication with them.
4. Apply payer-specific formats following a comprehensive audit.
5. Conduct timely follow-ups with payers to monitor application status.
6. Obtain enrollment numbers from payers and provide updates to physicians on application progress.
7. Regularly update the document library to maintain compliance for credentialing purposes.

With our meticulous approach, we pave the way for your practice’s growth and success.

Documentation

Gather, validate, categorize, and securely store documentation.

Payer Submission

Identify primary payers and submit applications using their specified formats.

Enrollment Confirmation

Follow up promptly on applications and secure enrollment confirmation.

Updates and Re-credentialing

Regularly update payer documents for re-credentialing purposes.

Our Provider Credentialing & Enrollment Services

If you’re a new provider or seeking re-credentialing with insurance companies, our medical credentialing services can simplify your provider enrollment process.

Recredentialing

We conduct regular reviews and validations of credentialing status to ensure timely re-credentialing, sparing you from insurance denials.

Licensing

Our services for provider enrollment and credentialing assist you in obtaining vital certifications, accreditations, and licenses necessary for successful insurance enrollment.

Electronic Transaction Enrollment

Rabs-RCM ensures your authorization with all eligible payers, enabling seamless EDI, ERA, and EFT transactions without hassle.

IPA Enrollment

Our credentialing consultants make sure to enrol you with insurance providers through Integrated Provider Associations (IPA) on tight-knit panels.

Contract Renegotiation

We negotiate with insurance companies on your behalf to increase your contracted rates and improve reimbursement for your practice.

Accreditation

Rabs-RCM accreditation services empower your practice to attain formal recognition and affiliation, minimizing enrollment holds with insurance agencies.

Why Choose Rabs-RCM As Your Medical Credentialing Outsource?

Enrolling in medical billing networks can be complicated and confusing, requiring expert guidance. Credentialing and contract maintenance are essential investments for any medical practice. They are the first steps on the path to financial success or failure. Rabs-RCM is a trusted provider enrollment partner committed to delivering timely and efficient services. We provide the expertise necessary to align with your business objectives, helping you secure and maintain network participation and claim reimbursement. 

Maintaining payer contracts can be a significant roadblock for healthcare providers, and the burden has only increased over time. The enrollment process is further complicated by the insurance industry’s global spread and the use of Internet technology. Only experts with the necessary knowledge and skills can handle these complexities correctly. At Rabs-RCM, we create, stabilize, and maintain your desired payer contract status mix for as long as you need to remain in the network. We can also help you with the process if you decide to leave.

You must rely on someone else for provider credentialing and contracting. Contact Rabs-RCM today to stay on track and achieve the best results.