Top-Tier Medical Credentialing Services
Simplify provider enrollment and payer contracting with New Era MBS. Get faster approvals, reduce claim rejections, and improve payer relationships.
Why Provider Credentialing Matters
In healthcare billing, provider credentialing is crucial for payer enrollment, network participation, and regulatory compliance. It ensures that healthcare providers meet the necessary qualifications and standards to provide medical services and receive reimbursement from insurance companies. Proper credentialing streamlines the revenue cycle and minimizes claim denials.
Faster Approvals
Expedite the credentialing process for quicker network participation.
Reduced Claim Rejections
Minimize errors and denials with accurate and up-to-date credentialing.
Improved Payer Relationships
Foster strong relationships with payers through reliable credentialing practices.
Compliance
Ensure compliance with insurance requirements and industry regulations.
Streamlined Revenue
Optimize your revenue cycle with efficient provider enrollment and credentialing.
Our Credentialing Services
- Provider Enrollment
- Payer Contracting
- Re-credentialing
- CAQH Management
- Documentation Support
- Ongoing Compliance Monitoring
Frequently Asked Questions
Medical credentialing is the process of verifying a healthcare provider’s qualifications, including education, training, licenses, and certifications.
Provider enrollment is essential for healthcare providers to participate in insurance networks and receive reimbursement for their services.
Payer contracting involves negotiating agreements with insurance companies to establish reimbursement rates and terms for medical services.
CAQH (Council for Affordable Quality Healthcare) management involves maintaining and updating provider information in a centralized database used by many insurance companies.
Ongoing compliance monitoring ensures that providers continue to meet the requirements of insurance companies and regulatory bodies, reducing the risk of penalties or sanctions.