Insurance Network Enrollment

Insurance Credentialing and Enrollment Services

Our insurance credentialing services offers our healthcare practitioner clients the opportunity to focus their time on patient care and customer service while we handle all the paperwork hassles of enrolling with Medicare and Medicaid as well as other government health plans, Commercial Insurance plans, and completing a CAQH profile. We offer several service plans including a complete outsourced option or purchasing just a few enrollment applications.  Our all-inclusive subscription based model gives you complete credentialing office management to ensure that your network participation is never interrupted and your credentials are always kept up to date.

Features and Benefits of working with nCred

• Experienced credentialing professionals with extensive experience in enrollment with Medicare, Medicaid, and commercial insurance networks
• Knowledge of completing and maintaining your CAQH profile
• Quick turnround time of your insurance network enrollment applications
• Track the status of your enrollment applications through our secure website
• You and your medical office staff can focus on more important patient matters than dealing with enrollment paperwork

SERVICE PLANS

All-Inclusive Practitioner Credentialing Subscription

Our all-inclusive credentialing service provides you with a complete outsourced credentialing office to handle all your needs.  With our annual subscription, you get dedicated credentialing staff that will take care of any credentialing matter that may arise including submission of insurance network enrollment applications, hospital privilege applications, managing all your credentialing data and documents, maintaining your CAQH credentialing file, keeping your documents up to date with CAQH, insurance carriers, and facilities, and being the primary point of contact for any credentialing matters that may arise in your office. Our all-inclusive service includes:

• Online application and document upload allows you to complete our credentialing application and send us copies of documents online to provide us with all the information that we'll need to complete your insurance network enrollment applications
• Complete insurance network enrollment applications on your behalf
• Complete re-enrollment (re-verification) applications from insurance networks on your behalf
• Complete hospital privilege applications and re-appointment applications on your behalf
• Track and verify receipt of your applications and follow-up until the applications are processed
• Maintain your credentialing file and all of your date sensitive documents such as licenses, malpractice insurance, etc.
• Store copies of all your documents on our server
• Maintain your record of CME's and proof of attendance
• Maintain your CAQH profile and handle quarterly attestations
• Maintain your NPI record and make any updates needed
• Serve as the primary point of contact for your practice for any credentialing issues with insurance companies and hospitals
• Access to your credentialing file and document copies in our system through our secure internet portal
• Credentialing staff with extensive experience in working with Medicare, Medicaid, and commercial insurance enrollment

All these benefits for one low monthly service fee allows you to easily budget and know what your expenses will be regardless of the number of insurance network enrollment applications that you need processed.

Basic Payor Enrollment Subscription

Our basic subscription plan provides you with payor enrollment services and maintenance of your credentialing file.  With our basic plan, we manage your credentialing data and document copies for an entire year so that we can process your insurance network enrollment applications as you need them throughout the year long subscription period.  Our basic subscription will provide you with enough insurance network enrollment applications to enroll with the primary carriers in your area.

The Basic Subscription Includes

• Complete your CAQH credentialing profile and process up to nine payor enrollment applications for a total of 10 applications  
• Maintain your credentialing file in our secure database with electronic copies of all your credentialing documents.
• Maintain your CAQH profile to ensure that insurance networks have access to your current credentialing information
• Provide you with real-time, secure access to your credentialing file through our web portal.  You can view, download, and print any document attached to your credentialing file.
• Renew your subscription for a low annual rate to manage your credentialing file

Enrollment application processing

If you just need assistance with an application or two, we can help with that as well.  With our basic application service, you simply tell us what insurance companies that you want to enroll with and we’ll populate the forms, submit them to the carriers and follow-up until the application is processed.  This service includes:

• Access to our online information center to provide us with all the information we need to complete your enrollment applicaitons, including uploading documents such as licenses, certifications, insurance, etc.
• Complete your enrollment forms and submit to the carrier along with other documents required
• Follow up with the carrier until your application is processed
• Credentialing staff with extensive experience in working with Medicare, Medicaid, and commercial insurance enrollment
• Volume discounts available when purchasing more than 1 application

We can assist with hospital privilege applications as well as state medical license applications