Our credentialing experts provide the best services you need.
Best Insurance Credentialing Services in USA
Insurance credentialing or healthcare credentialing is the process of getting a physician or a provider affiliated with their payer networks. Insurance credentialing is the first and most important step in managing your practice’s revenue cycle. Providers require insurance credentialing services, mainly, when joining or starting a new practice, switching from one physician practice group to another, getting affiliated to new groups, or when enrolling with new insurers.
At Outsource Strategies International (OSI), we can easily verify your license, education, insurance, and other information and ensure that they meet the standards of practice required by the payer or healthcare facility you are affiliating with. We can simplify insurance credentialing for physicians, nursing assistants, psychologists, nurse practitioners, urgent care facilities, audiologists, physical, occupational and speech therapists and more!
Find time to serve your patients better!
Streamlined Medical Insurance Credentialing Services
Our team is dedicated to handle all your insurance credentialing services from start to finish. We can customize our services
based on your requirements. Save your time for patient care.
Physician Qualification Review Healthcare credentialing
Healthcare credentialing verifies that a provider meets all the necessary standards determined by the payer such as:
- Medical license
- Malpractice insurance
- Training and certification
The Council for Affordable Quality Healthcare, Inc. (CAQH) collects credentialing information on providers and makes that information available to payers to streamline the credentialing process. Our services include:
- CAQH application filing
- CAQH attestations
- Completing and maintaining your CAQH profile
Most payers require providers to undergo re-credentialing every three years to maintain the strict standards that come with maintaining a high-quality network. Our re-credentialing process mainly involves
- Application review
- Credentials verification
Appeals for Closed Panels
Even if a panel is closed, payers may still accept providers with proper appealing. If the application is denied, we will appeal against the denial, highlighting your:
- Experience in your specialty
- Excellent outcomes
- Relationship with other referring providers
- Additional training and credentials
Credentialing process is also crucial for telehealth providers. We can verify any information about your background, including:
- Additional training
- Malpractice claims
- Employment history
Along with maintaining your credentialing details, we can also deal with claim denials due to credentialing issues. Our services include maintaining:
- Provider’s credentialing documents
- Contracting agreements
Our medical insurance credentialing services cover but are not limited to
We can deal with all your insurance credentialing concerns, the major step in your practice’s revenue cycle management.