CREDENTIALING

Preferred Choice Credentialing gets it done. That's what we do.

Why is Credentialing Important?

Recognizing the paramount importance of credentialing in the healthcare field, Preferred Choice Credentialing is dedicated to guiding you through the intricate process of becoming an "In Network" provider. We understand that a seamless credentialing experience is crucial for all licensed healthcare professionals.

Here's how we can assist you:

Thorough Verification Process:
When applying to be an "In Network" provider, insurance companies scrutinize various aspects of your credentials. We meticulously verify information such as your education, state license, certifications, affiliations, training, and liability insurance to ensure a smooth credentialing process.

Active Credentials Throughout:
Maintaining active credentials is key. Our internal checklist ensures that your documents comply with regulatory mandates throughout the entire credentialing process, whether you're a new or established client.

Ongoing Re-credentialing/Revalidation:
Credentialing is not a one-time task; it's an ongoing process. We handle re-credentialing and revalidation every two, three, or five years, ensuring your credentials remain up-to-date and in compliance with industry standards.

Efficient Workflow Processes:
Preferred Choice Credentialing is your partner in streamlining workflow processes. By reducing administrative burdens, we aim to enhance the efficiency of your day-to-day operations, allowing you to focus on what matters most—patient care.

Dedicated Support:
Our commitment goes beyond initial credentialing. We provide ongoing services to guarantee accuracy and efficiency in your credentialing processes, supporting you throughout your professional journey.

Let Preferred Choice Credentialing be your ally in simplifying the credentialing experience. Our team is here to navigate the complexities, so you can concentrate on providing exceptional healthcare.

What do we do?

Initial Consultation:
- Host a 30-minute call to review an internal checklist with the provider.
Discovery Phase:
- Collaboratively determine the provider's discovery phase based on their needs and requirements.
Documentation Collection:
- The provider will provide all necessary documentation required for credentialing.
NPPES/PECOS/I&A Account Setup:
- Access and/or register for NPPES (National Plan and Provider Enumeration System), PECOS (Provider Enrollment, Chain, and Ownership System), and I&A (Identity & Access Management) accounts.
CAQH Registration or Modification:
- Assist in the registration or modification of the Council for Affordable Quality Healthcare (CAQH) profile.
Initiate Credentialing:
- Start the credentialing process with the relevant authorities.
Initiate Payer Enrollment:
- Begin the enrollment process with insurance payers.
Follow-up and Status Checks:
- Regularly follow up in increments of 30 days until enrollment is completed.
Contracting Phase:
- Move into the contracting phase, ensuring that contractual agreements align with the provider's preferences and requirements.
Directory Listing Accuracy:
- Verify and ensure that the provider or group practice is accurately listed in directories.
Enrollment Status Report:
- Provide a comprehensive report on enrollment status, including effective dates.

This structured approach covers key aspects of the credentialing and enrollment process, aiming to streamline the onboarding of healthcare providers into various networks and ensuring accurate and effective participation. The follow-up and reporting steps reflect a commitment to keeping clients informed throughout the process.

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VISIT OUR FAQ PAGE

For the most commonly asked questions and answers.

At Preferred Choice Credentialing, we firmly believe in the transformative power of education when it comes to the credentialing journey. Licensed healthcare professionals, regardless of specialty, play a crucial role in serving our local communities and beyond. Recognizing the essential nature of their services, we have made it our mission to offer comprehensive credentialing services at a reasonable price, accompanied by abundant support every step of the way.

Our commitment goes beyond mere service delivery; we aim to tailor our offerings to the unique needs of your solo or group practice. By assisting in improving your workflow, we strive to make a positive impact on your bottom line. At Preferred Choice Credentialing, your success is our priority, and we are here to empower you on your professional journey.