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Comprehensive Credentialing Solutions Tailored for Healthcare
Customized credentialing and enrollment services that ensure compliance and accuracy.
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CredentialONE offers a wide range of services to ensure your providers meet all licensing, insurance, and regulatory requirements. Our solutions are tailored to meet the diverse needs of healthcare organizations, including hospitals, medical practices, and telehealth providers.
Our credentialing services follow NCQA-certified processes that uphold the highest standards in provider verification.
Our Services Include:
Primary Source Verification
Verifying education, licensure, certifications, and work history.
Medicare and Medicaid Enrollment & Credentialing
Completing applications, verifying documents, and maintaining compliance.
Commercial Insurance Enrollment & Credentialing
Managing payer applications and network participation.
Payer Enrollment Auditing
Auditing and correcting provider enrollments.
PECOS Updates
Managing and maintaining accurate provider information in the PECOS system.
CAQH Registration and Updates
Creating and maintaining provider profiles in the CAQH ProView system.
Revalidation Services
Ensuring ongoing compliance with federal and state regulations.
NPI Registration (Type I and Type II)
Obtaining and maintaining accurate NPIs.
Hospital Privileging
Managing applications for hospital privileges.
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