Provider Enrollment, Credentialing, Contracting

Network enrollment processes are not standardized, they’re complicated and time-consuming. They require continual monitoring to make sure the approval goes through. Our specialists are aware that even small credentialing errors in healthcare can cause major issues – delays in provider enrollment, fines for non-compliance, and a lack of patient trust.
At September Inc, we offer comprehensive credentialing services for all types of healthcare practices. With us, you don’t need to do anything. We handle everything for you, so there’s no need to deal with multiple people.

Our team can help you with:

  • Documentation : Collect, validate, and store necessary documents.
  • Payer Submission : File applications with top payers in their required format.
  • Ensure Enrollment : Timely follow-ups to secure enrollment.
  • Updates & Re-Credentialing : Regularly update payer documents for recredentialing.

Below are a few functions we perform on your behalf throughout the credentialing process.

PPO, HMO, Medicaid Credentialing

Fee Negotiation: We are here to negotiate the fee schedule for your practice with every allowable insurance company. We will make sure that you are being rightly reimbursed with the highest possible fee.
We assure providers obtain adequate compensation for the services rendered and enable providers to deliver the highest quality of healthcare to patients with more investment in the best equipment, technologies, and assets.

We are here to help you with the following:

  • Optimizing your fee schedule
  • Work on a strict operational timeline
  • Enhance your practice revenue
  • Maximizing the reimbursements
  • Strengthening your growth

Recredentialing

Recredentialing involves reviewing and potentially requesting the renewal of your professional credentials. This keeps you in-network and helps you avoid the risk of termination. Our medical credentialing specialists take care of all aspects of re-credentialing for hundreds of providers in the United States, and help them stay ahead of the competition. Providers can get out of the insurance-panel network if they resume providing treatments to patients after the termination of your contract. Our team ensures you stay in network with insurance panels and prevent reimbursement loss by revalidating providers’ credentials on time.

Our re-credentialing experts can help you with the following:

  • Ontime recredentialing
  • Error-free smooth process
  • Regular followups and updates
  • Improved workflow
  • Help provide premium patient care.

EFT Enrollment

Make the most out of the new healthcare technologies and achieve the highest level of productivity for your office. It is time to fully utilize the EFTs and say goodbye to slow cash flow.

Our team here at September Inc can help you get enrolled to streamline EFTs and minimize the delays to maintain a steady cash flow.

We can help you ensure the following:

  • Timely enrollment
  • Activation of smooth electronic fund transfers
  • Faster payments
  • Less burdened billing team
  • Ever-growing practice
  • Our team can help you with:
  • Avoiding piles of paperwork and filling out forms
  • Getting credentialed on time with healthcare plans
  • Receiving real-time updates on credentialing transactions
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