Code Credentia

Your Trusted Partner for Medical Credentialing

 

Code Credentia understands the complexities of medical credentialing and its vital role in the success of your healthcare practice. Our credentialing services are designed to streamline the process, ensuring that healthcare providers meet the necessary qualifications and regulatory requirements to provide quality care.

At Code Credentia, we strive to provide exceptional value through a range of services designed to meet your unique needs. Here’s what you can expect when you partner with us

We understand the urgency in healthcare. Our streamlined processes ensure that you receive timely responses and efficient service, helping your practice stay on track.

Maintaining compliance with industry regulations is crucial. Our team prioritizes accuracy in all aspects of our work, ensuring that you meet the necessary standards while maximizing reimbursements.

Every practice is different. We take the time to understand your specific requirements and tailor our services accordingly, ensuring that you get exactly what you need for success.

Our commitment to you doesn’t end with service delivery. We offer dedicated support, providing assistance and guidance whenever you need it, so you’re never alone on your journey.

In today’s digital age, engaging with your audience is key. We help enhance your online presence through effective social media strategies, connecting you with patients and building your brand.

Why Choose US?

Provider credentialing is a meticulous and time-consuming process that requires careful attention to detail and up-to-date knowledge of the healthcare industry’s regulations. At Code Credentia, we take care of every aspect of the credentialing process so you can focus on delivering excellent patient care. Our dedicated team of experts ensures that your practice remains compliant and ready to serve patients without delays.

 

Provider Enrollment & Re-enrollment

We handle the provider enrollment and re-enrollment processes with payers, including Medicare, Medicaid, and commercial insurance companies. This includes completing and submitting all necessary applications, reducing administrative burdens on your practice.

Primary Source Verification

Our team conducts thorough primary source verifications to confirm the credentials of healthcare providers. We check licenses, certifications, education, training, and work history, ensuring that each provider meets the highest standards.

CAQH Profile Management

We manage your Council for Affordable Quality Healthcare (CAQH) profile, keeping all your information current and accurate. This step is crucial for smooth provider enrollment and maintaining good standing with insurance companies.

Ongoing Monitoring & Maintenance

Credentialing is not a one-time task. We provide ongoing monitoring and maintenance, ensuring your practice stays compliant with changing payer requirements, regulatory updates, and recredentialing schedules.

Payer Contracting

Our experts handle payer contracting to negotiate favorable terms and reimbursement rates for your practice. We work to establish contracts that benefit both your bottom line and the quality of care provided to patients.

Get Credentialed with Confidence

With Code Credentia’s comprehensive credentialing services, you can trust that your practice is in good hands. We handle the complexities of provider enrollment and payer contracting so that you can focus on what matters most—providing exceptional patient care.

Ready to Simplify Your Credentialing? Contact us today to learn how our credentialing services can benefit your healthcare practice.

Why Choose Us?

Trusted by 500+ physicians

100+ certified medical billers and coders

End-to-End Automated Billing Solution

Up to 98% First Pass Clean Claim Rate

With 15+ Years Of Experience, We Deliver Solutions That Result In High Collections

Code Credentia is providing specialized Medical Billing and Credentialing Services.