Credentialing Services

Each Insurance Carrier you apply for typically requires dozens of pages of paperwork, and lengthy online applications.

We act as an extension of your practice to complete all the paperwork and diligently follow up to get you credentialed with as many payers as possible.

Expand your client base through insurance credentialing services for:

Commercial Payer Enrollment (Aetna, Blue Cross/Blue Shield, Cigna, Keystone, Humana, UnitedHealth Group, Anthem, WellPoint, Kaiser, Highmark, etc)
Government Payer Enrollment (Medicare/Medicaid)

Credentialing Services & Benefits

Full Service Credentialing
Completion of credentialing applications for insurance carriers. We will also do all necessary follow up with insurance carriers and track the application through to the approval stage.

Maintain Credentialing Documentation
We maintain all pertinent credentialing documentation (e.g. DEA, CDS, Medical Licenses, Board Certificates, Malpractice Insurance Face Sheets, CME’s etc.

Distribution of Renewed Documentation
We distribute all renewed documents including DEA, CDS, Malpractice Insurance Face Sheets, Medical Licenses, updated CME’s etc., to insurance carriers and the hospitals.

Document Tracking
We track and provide advanced notification of expiring licenses, DEA, CDS, etc.   We function as the liaison between the practice and the insurance carriers and hospitals with all matters relating to the credentialing/re-credentialing process.

Insurance Matrix
We will provide your office with an insurance matrix, which lists the individual physician, each insurance carrier and the physician’s status with the plan, Personal Identification Number and effective date with the insurance plan. The matrix will be updated each time there is a change in status

Completion of CAQH Proview Profile
Register providers and groups with the NPPES to obtain an NPI number.  Enroll for Electronic Funds Transfer (EFT) .  Enroll for Electronic Remittance Advice (ERA)

Our expertise in the area of credentialing will increase your chances of approval and save you the time and headaches involved with the application and follow-up process.

We can help enroll you in the insurance carriers best suited for your practice’s needs.

We can help you throughout the process from credentialing prep to re-credentialing when necessary. (Also see our Medical Billing section for continued services to get your practice paid after you have been officially enrolled.)

Who is eligible for Credentialing Services

We offer credentialing for :

Physicians Assistants
Physical Therapists
Speech-Language Pathologists
Clinical Labs
Urgent Care Facilities
Behavioral Health  
and many more

The Next Step Billing & Credentialing 
252 Harry Lane Blvd Ste 202
Knoxville, TN 37923

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