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Provider Enrollment & Contracting

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Credentialing Section

Provider Enrollment & Credentialing

Accelerate Your Credentialing and Stay Compliant with Our Expert Enrollment Services

Let's Begin Your Credentialing Process
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    Experience Top Features of Our Credentialing and Enrollment Support

    Simplify Provider Enrollment and Credentialing with Caddison

    Provider Enrollment and Credentialing involve the process of enrolling healthcare providers with insurance companies, government programs, and healthcare networks.

    Navigating the complexities of provider enrollment and credentialing can be time-consuming and overwhelming. At Caddison, we specialize in handling every aspect of the enrollment and credentialing process, ensuring that your practice is properly accredited and able to receive reimbursements from insurance payers.

    • Range of Enrollment Services
    • Knowledge & Expertise
    • Payer Information
    • Hands-on Providers Support

       
    • Compliance & Accuracy
    • Client Satisfaction
    • Credentialing Tactics

    How We Support Your Credentialing Needs

    At CADDISON, we streamline the entire credentialing and contracting process to minimize delays, ensure compliance, and keep your practice revenue flowing. From enrollments to renewals — our team manages it all with accuracy and speed.

    01

    Medicare & Medicaid Enrollment

    Complete enrollment and revalidation to ensure uninterrupted access to federal reimbursements.

    02

    PECOS Registration

    Manage your PECOS profiles to meet CMS requirements and streamline provider enrollment.

    03

    ERA & EFT Setups

    Get paid faster with seamless electronic remittance advice and direct deposit configurations.

    04

    CAQH Enrollment

    Maintain your CAQH profile for payer credentialing and minimize delays in approvals.

    05

    Re-validations

    Stay compliant with periodic revalidations to avoid disruptions in your provider status.

    06

    Individual & Group Enrollment

    Onboard new providers or group practices efficiently with our expert credentialing support.

    07

    TIN Registration

    Accurate Tax Identification Number registrations to keep your billing processes compliant.

    08

    NPI Application

    Assistance with new National Provider Identifier (NPI) applications and updates.

    09

    EDI Setups

    Electronic Data Interchange setup for smoother claims submission and payer communication.

    10

    Contracts Management

    In & out-of-network contract negotiations that maximize reimbursements for your practice.

    11

    Contract Renewals

    Timely renewals and updates to prevent lapses in payer agreements and credentialing files.

    12

    Charge Master Prep

    Customized charge master preparation and fee schedule optimization for better compliance.

    From Start to Finish – How We Handle Credentialing

    Step 1: Initial Consultation & Understanding

    We begin with an in-depth consultation to understand your practice’s needs, existing payer relationships, and goals.

    Step 2: Documentation & Application Preparation

    Our team gathers all necessary documents, completes applications, and submits them on your behalf, ensuring that everything is done correctly and promptly.

    Step 3: Follow-Up & Communication

    We maintain ongoing communication with payers to track the status of your applications, promptly addressing any issues or requests for additional information.

    Step 4: Approval & Compliance Monitoring

    Once approved, we ensure that your credentials remain up-to-date, handling re-credentialing and compliance monitoring to keep your practice in good standing.

    Credentialing Excellence

    The Foundation of CADDISON’s Credentialing Excellence

    CADDISON provides comprehensive credentialing services designed to streamline the provider enrollment process, minimize claim delays, and save both time and money.

    In delivering our credentialing and enrollment solutions, CADDISON consistently observes the following key elements:


    Provider Satisfaction

    Client Satisfaction

    Credentialing Tools

    Accuracy & Compliance

    Proactive Provider Support

    Payer Knowledge

    Experience & Expertise

    Credentialing Services

    The Value We Bring Through Credentialing & Enrollment Services.

    1

    Faster Provider Enrollment

    We streamline the entire enrollment process to reduce delays and get providers credentialed quickly. This ensures faster revenue cycles and timely patient care.

    2

    Error-Free Documentation

    Our experts handle all paperwork with precision to prevent rejections and delays. Accurate submissions mean fewer back-and-forths with payers.

    3

    Compliance You Can Trust

    We stay current with payer requirements and regulatory changes. This helps ensure your credentialing process is fully compliant at all times.

    4

    Cost & Time Efficiency

    By outsourcing to CADDISON, your staff can focus on patient care, not paperwork. We help reduce administrative burden and avoid costly mistakes.

    Credentialing Value Infographic
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    FAQs (Frequently Asked Questions)

    It typically takes 120 days for a new provider or group to receive their full credentialing. It can take 30 to 60 days for certain payers, and up to 150 days for others.

    Within three business days of receiving the proposal and credentialing documents, your enrollment procedure will begin.

    Access to experienced professionals who specialize in credentialing
    Streamlined processes and improved efficiency
    Reduced administrative burden for your practice
    Increased revenue and improved cash flow
    Enhanced compliance with payer regulations

    Document Required for Individual Provider:

    • State License
    • Certificate of Malpractice Insurance (COI)
    • Federal DEA License
    • State DEA License (CDS License; if required by state)
    • Board Certification(s)
    • Current CV (use MM/YYYY format; show current employer)
    • Driver’s License
    • Diploma (highest level of education)
    • ECFMG Certificate (for providers educated outside the United States; Educational Commission for Foreign Medical Graduates)
    • Collaborative Agreement (required for Nurse Practitioners only)
    • Prescribing Arrangement Letter (for providers not holding federal DEA License)
    • Admitting Arrangement Letter (for providers who do not have active hospital admitting privileges)
    • Legal entity documents (copies only for license and certificate requirements):
    • State Business License
    • Certificate of Malpractice Insurance (COI)
    • CLIA Certificate (if applicable; Clinical Laboratory Improvement Amendments of 1988)
    • IRS W-9 Form
    • IRS Form CP575 or replacement letter 147C (verification of EIN/TIN)
    • Bank Account Verification Letter or a copy of the voided check
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