Our Services

Want to be in-network with a new payer?

Need to add a new provider to your group's contract?

Adding a new location to your TIN?

Services are customized to fit each client's needs. Just let us know what you want to do -

whether it's adding new providers who have never been credentialed,

removing providers who are no longer with the group,

adding credentialed providers to your group,

or adding a group location to your existing contract.

We have established relationships with these insurance payers:

Aetna, Anthem, BlueCross BlueShield,

Cigna, Delta Dental, EyeMed, Forward Health, Guardian,

HealthPartners, Hennepin Health, Humana,

Medica, Medicaid, Medicare, Optum, Prime West, Sanford, SecureCare, Tricare,

UCare, United Behavioral Health, United Healthcare, WPS,

and others.

Why choose us?

-Increase your revenue

-Reduce claim denials

-Reduce your administrative costs

-Fixed prices for application submissions

-Monthly notice for expirable documents

-Knowledgeable and available staff

Let us know how we can help!

reach out for a 30-minute consultation.

Contracts

Contracting is the process of applying for and obtaining participation with insurance payers. Contracts are vital to insurance-based groups if they want to operate with ease. Having a contract in place will contribute to patient and staff satisfaction, as well as timely and proper reimbursements.

Credentialing

Credentialing is the process of gathering and verifying the qualifications and competence of a healthcare provider. Proper credentialing is required by all healthcare accreditors. It ensures patient safety, reduces medical errors, and is essential if you want to be in network with insurance companies.

Recredentialing

Recredentialing and revalidation are processes that are completed when a payer requests a review of a provider’s qualifications and history. It is required to remain in the insurance network and is performed routinely after initial credentialing - at least every three years.

Demographic & Directory Updates

It's important to keep group and provider rosters up to date to maintain accuracy in insurance payer systems. This allows patients to easily find providers on the payer websites, ensures only current providers are enrolled, and secures proper reimbursement. These services can include tasks such as changing a provider's legal name or phone number with a payer and removing a provider from a group's roster.