Payer Enrollment
Commercial and government insurance.
1
Contracts
Establishing in-network status with multiple insurance companies: Anthem, Aetna, BCBS, Cigna, United Healthcare, Optum, Medicare, Medicaid, etc.
2
Adding or Removing Providers
Ensuring payers are notified of new providers and that the update is completed quickly and accurately.
3
Demographic Updates
Maintaining the accuracy of your group or provider profile with insurance companies and taking care of any necessary updates such as name changes, network changes, changes in location, etc.
4
CAQH
Assistance in creating, updating, and maintaining your provider or group profiles so that insurance companies can pull information directly.
5
Portal Creation and Management
CAQH, Availity, CMS, I&A, PECOS, UHC, Optum, etc.
6
Payer Audits
Completing audits with established payers to make sure all information is correct.
7
Appeals
Drafting an appeal letter in the event of a denial or closed network notification.