Our Services

Credentialing & Enrollment

In the ever-evolving landscape of healthcare, the seamless interaction between healthcare providers and insurance payers is paramount. Healthcare practitioners must undergo a rigorous process known as credentialing and enrollment to become authorized to offer their valuable services to patients covered by specific insurance plans.

At Global Healthcare, we specialize in Provider Credentialing and Enrollment Services, offering a comprehensive suite of solutions designed to simplify and expedite this critical process. Our dedicated team ensures that healthcare practitioners can focus on patient care while we navigate the intricacies of credentialing, ensuring compliance, accuracy, and efficiency every step of the way.

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OUR PROCESS

Credentialing & Enrollment

Document Collection : We work closely with practitioners to gather necessary documentation, such as education credentials, licenses, certifications, and more.

Secure Document Management : Our advanced software securely stores all credentialing-related files in one central location, ensuring easy access, organization, and protection against loss or damage.

Payer Applications : We identify major payers and handle the application process in their preferred formats, minimizing delays and errors.

Provider Information Updates : We keep your information current on payer systems, including contact details and changes in expertise or degrees.

Expirations and Renewals : We track document expirations, including licenses, certificates, and insurance, keeping you informed and proactive about renewal deadlines.

Our Services

Credentialing & Enrollment

Data Maintenance
Creation & Maintenance
CAQH Attestation
Expirations & Renewals
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    Provider Data Maintenance

    Keeping provider data accurate and up-to-date is crucial. We manage and update your demographic information with payers, ensuring that your patients can easily find and contact you. This eliminates confusion and helps maintain a professional image.

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    Contract Creation and Maintenance

    We assist in creating and maintaining contracts with both individual practitioners and groups. This includes adding or removing providers, updating locations, and managing various plan types. Our services also include rate negotiation, helping you secure favorable terms.

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    CAQH Attestation

    The Council for Affordable Quality Healthcare (CAQH) streamlines administrative processes. We handle CAQH application filing and quarterly attestations, reducing redundancy and inefficiency in dealing with health plans. This saves you time and resources.

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    Expirations and Renewals

    Tracking important credentialing-related expiration dates, such as State DEA licenses, board certificates, and malpractice insurance, is crucial. We ensure you are well-prepared for renewals, avoiding potential disruptions to your practice.

Why Choose Us

Credentialing & Enrollment

Expertise in Complex Credentialing : Our experienced team excels in navigating the intricacies of credentialing.

Timely Application and Renewal Management : In healthcare, time is critical. We proactively manage your applications and renewals, preventing payment delays and practice disruptions.

Accurate Provider Information : Maintaining current provider information is vital.

Efficient CAQH Handling : Our team is proficient in CAQH requirements. We streamline your application filing and quarterly attestations

Proactive Issue Prevention : We proactively track credentialing dates and expirations, alerting you in advance to initiate the process.

Boosting Practice Financial Health : Our goal is to improve the financial well-being of healthcare practices. We manage credentialing diligently, addressing issues to prevent denied claims.

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