Complete Provider Credentialing Solutions
Helping Health Care Providers With All Their Credentialing Needs
Veltrix Health credentialing company offers all-inclusive provider credentialing services for healthcare professionals and organizations. Here’s an overview of the medical credentialing and enrollment services we provide:
Medicare and Medicaid Provider Enrollment
We enroll providers in Medicare and Medicaid programs, expanding patient base, increasing revenue, and ensuring regulatory compliance.
Commercial Insurance Credentialing
We credential providers with commercial insurers like Aetna and Humana, allowing access to more patients and better rates.
NPI Registration (Type 1 and Type 2)
We assist individuals and organizations in obtaining or updating their NPI numbers, essential for billing, reporting, and transactions.
CAQH Registration and Maintenance
We help providers stand head and shoulders above their peers. Our credentialing specialists register and maintain every provider’s profile on the Council for Affordable Quality Healthcare (CAQH) ProView, which is an online database that collects and verifies provider information for credentialing purposes. By using CAQH ProView, providers can refine their credentialing process with multiple health plans.
MCR DMEPOS Enrollment
Providers using our credentialing service can enroll in the Medicare DMEPOS program, which covers items such as wheelchairs, oxygen equipment, braces, and diabetic supplies. By enrolling in this program, providers can offer these items to Medicare beneficiaries, improve their quality of care, and receive reimbursement from Medicare.
Hospital Privileges
We facilitate physicians with obtaining and renewing their hospital privileges, which are the rights and responsibilities granted by a hospital to a provider to practice within its facilities. By having hospital privileges, providers can admit and treat patients, access hospital resources, and collaborate with other health care professionals.
Contract Negotiation
Our credentialing team provides support to the doctors with negotiating contracts with insurance payers, which are the agreements that define the terms and conditions of the provider-payer relationship. By negotiating contracts, medical practitioners can secure favorable payment rates, dispute resolution processes, quality measures, and network inclusion.
Revalidation & Re-Credentialing
Our medical insurance credentialing service manages every physician’s revalidating and re-credentialing enrollment process and credentialing status with Medicare, Medicaid, and commercial insurers. With Urgent RCM managing these processes on autopilot, providers can maintain their eligibility to participate in these programs and avoid any interruptions or penalties.
Reimbursement Issues Audit
Our credentialing and privileging specialists audit reimbursement issues, such as underpayments, denials, delays, or errors from insurance payers. Providers also get accounts receivable (AR) follow up services to help collect outstanding payments from payers. By auditing reimbursement issues and following up on AR, providers can improve their cash flow, reduce their bad debt, and optimize their revenue cycle.
Providers State License
We assist providers with obtaining and renewing their state license to practice medicine in the US. Each state has its own requirements and procedures for licensing health care providers. By obtaining and renewing their state license, providers can comply with state laws and regulations, demonstrate their competence and qualifications, and protect their professional liability.
DEA Certificate & Renewal
Veltrix Health medical credentialing experts help providers with obtaining and renewing their Drug Enforcement Administration (DEA) certificate, which is a registration that authorizes them to prescribe controlled substances in the US. By obtaining and renewing their DEA certificate, providers can prescribe these drugs legally and safely to their patients.
CLIA Registration
Providers using our physician credentialing services get help with registering their laboratory under the Clinical Laboratory Improvement Amendments (CLIA), which are federal standards that regulate laboratory testing performed on human specimens. CLIA registration is required for any laboratory that performs tests for diagnosis, prevention, or treatment of disease or health assessment.
Veltrix Health Offers The Best Credentialing Services Near You In The USA
Looking for top-notch credentialing solutions from credentialing specialist companies near you? With over a decade of industry experience, Veltrix Health stands out as the leading provider credentialing company, serving practices across all 50 states of the USA.
We begin by thoroughly assessing your practice’s unique needs, along with the specific requirements of your state and the insurance payers you wish to partner with. Leveraging our extensive network of payer contracts and strong relationships, we gather and verify all necessary documents, licenses, certifications, and insurance details to meet each payer’s individual criteria.
For instance, when credentialing a physician in California, we verify their medical license with the Medical Board of California, review any disciplinary actions through the National Practitioner Data Bank, ensure sufficient malpractice insurance coverage, and collect an updated CV and diploma before submitting to health plans such as Blue Shield of California and Health Net.
Additional credentialing services like re-credentialing, expediting credentialing, and credentialing for locum tenens providers are also a part of BellMedEx Provider Credentialing and Enrollment Service offerings.
Payer Enrollment and Medical Credentialing for Doctors
Credentialing and Payer Enrollment Services For All Healthcare Organizations
Proper credentialing is essential for healthcare providers to deliver quality care, attract patients, and maintain compliance. Our comprehensive credentialing service helps providers of all specialties navigate these challenges. Our payer enrollment credentialing services are available for:
Physicians
Our credentialing service ensures physicians gain swift access to insurance networks, accelerating patient care. It's crucial for maintaining credibility and trust with patients and peers.
PT/OT/SLP
Our credentialing facilitates therapists' inclusion in insurance panels, enabling them to offer vital rehabilitation services while maintaining financial stability.
Ambulatory Surgery Centers (ASC)
Credentialing via our service for ASCs enhances patient trust by demonstrating adherence to rigorous quality standards, crucial for safe surgical procedures.
Optometrists, Audiologists
Credentialing broadens the reach of optometrists and audiologists, allowing them to deliver essential eye & ear care services to a more diverse clientele.
PAs/NPs
Credentialing via our service aids PAs/NPs in expanding their practice reach, ensuring they're authorized to deliver essential medical services independently.
Podiatrists (DPM)
Credentialing through us empowers podiatrists to offer specialized foot care, securing their position as recognized experts in their field.
Veltrix Health Facilities
Our credentialing ensures veltrixhealth facilities are in-network with insurers, making prompt and affordable medical services accessible to a broader range of patients.
Behavioral Health Providers
Our credentialing service aids behavioral health providers in becoming part of insurance networks, enabling vital mental health services to reach those in need.
Complete Payer Support
Enroll With Your Favorite Payer Through Veltrix Health
Government Payers
Examples include – Medicare, Medicaid, and TRICARE.
Commercial Payers
Examples include – Blue Cross Blue Shield, Kaiser Permanente, Anthem, United Healthcare, Aetna, Cigna, and Humana.