We help healthcare providers enroll with major networks such as IPA’s, Medical Groups, MSOs, and Health Plans. This includes completing all required applications, gathering documents, and submitting forms on behalf of the provider.
Our team assists in reviewing and negotiating contracts between providers and healthcare organizations to ensure accurate terms, appropriate reimbursement rates, and compliance with industry standards.
We collect, verify, and validate all necessary provider information—such as licenses, certifications, education, and work history—to ensure they meet the requirements of healthcare networks.
We create, update, and maintain the provider’s CAQH profile, ensuring all data is current and complete for insurance plan credentialing.
We monitor expiration dates for provider licenses, board certifications, malpractice insurance, and other documents, ensuring everything stays updated and compliant.
We handle the re-credentialing process by submitting updated documents and applications to keep providers active in all contracted networks.
We ensure providers meet state, federal, and organizational compliance standards, including background checks, sanction reports, and quality assurance requirements.
We maintain accurate provider records across all systems, ensuring that demographic, specialty, and practice information is up-to-date at all times.
We provide regular updates on the status of enrollment and contracting applications, giving providers full visibility into where each contract stands.
Our team offers continuous support to providers, answering questions, resolving issues, and guiding them through every step of the contracting and credentialing process.
Contact Email: providerservices@credcarellc.org
Mailing Address: 1065 SW 8th St #1950,
Miami, FL 33130
United States