Streamlined Medical Credentialing Services with Primatac:
Ensuring Quality Care through Verified Expertise
In the dynamic landscape of healthcare, Primatac stands as a trusted partner, delivering meticulous medical credentialing services that uphold the highest standards of quality and patient safety. Our services are designed to ensure that healthcare providers, from physicians to nurses, meet and exceed the essential qualifications and standards necessary for delivering exceptional care to patients.
Our Approach to Medical Credentialing:
At Primatac, we recognize the critical role that medical credentialing plays in the healthcare industry. Our comprehensive evaluation process encompasses a range of vital factors to validate a healthcare provider’s capabilities:
- Education and Training Verification: We rigorously verify educational qualifications, including medical degrees, residency training, and specialized fellowships, to ensure providers possess the necessary expertise.
- Licensure Validation: Our experts meticulously confirm active and valid licensure through direct communication with relevant state medical boards, guaranteeing adherence to legal requirements.
- Work History and References: We delve into work history, seeking insights from professional references and colleagues to assess clinical competence and ethical conduct.
- Thorough Malpractice History Review: Our in-depth review of malpractice history ensures a clear understanding of past legal or disciplinary actions, promoting patient safety.
- Certification Authentication: We verify board certifications with certifying bodies, confirming a provider’s advanced expertise beyond basic licensure.
- Continuous Monitoring and Re-Credentialing: Our commitment extends beyond the initial process. We provide ongoing monitoring and periodic re-credentialing to ensure sustained qualifications and compliance.
- Efficient Provider Enrollment: We facilitate the enrollment process with insurance companies, Medicare, Medicaid, and other payers, simplifying the journey to become an approved provider for reimbursement.
Why Choose Primatac for Medical Credentialing:
- Experience and Expertise: Backed by extensive experience in the healthcare insurance industry, Primatac brings a deep understanding of effective credentialing practices.
- Comprehensive Services: Our services cover a wide spectrum, from initial credentialing and enrollments to contracting, licensing, and beyond.
- Expedited Process: Primatac is dedicated to efficiency. We initiate initial submissions within 24 hours of signup, ensuring a swift and streamlined process.
- Accurate and Timely Responses: We pride ourselves on delivering clean submissions and prompt responses to insurance companies, minimizing the risk of rejections.
- Continuous Support: Our consistent follow-ups and real-time reports keep you informed about your credentialing status, enhancing transparency and clarity.
- Specialized Expertise: We handle a diverse array of specialties, adhering to unique guidelines established by state regulations, private payers, government entities, and hospitals.
We are better because of the following:
- Free Consultations
- Free NPI Registration
- Free CAHQ Registrations & Updates
- Initial Submissions within 24 hours of your signup to expedite all your applications
- 99.9% Clean Submissions
- Timely response to insurance companies to avoid rejections
- Monthly CAQH Attestations to avoid delays
- Contract Negotiations to get you better Rates
- Consistent follow-ups that enhance Credentialing processes
- Real-time Reports that keeps you up to date with your statuses
Our Credentialing Services
- Initial Credentialing & Enrollments
- Re-Credentialing
- Contracting & Negotiations
- Licensing & Renewals
- Malpractice Insurance Enrollments
- DEA Registrations
- Demographic Updates
- Hospital Privileges
- IPA Enrollments
Choose Primatac for a medical credentialing partnership that places quality care at the forefront, ensuring your practice’s adherence to the highest professional standards and regulatory compliance.
EDI/ERA/EFT Setup
We can assist you in setting up your EDI/ERA/EFT setups with different insurance companies for electronic claims submissions, rejections, eligibility, payment information, denials, and electronic fund transfer.
Clearing Houses;
- Change Health
- Office ally
- TriZetto/GatewayEDI
- Availity
- Capario
Re-Validation:
In the realm of medical credentialing, the journey doesn’t conclude with initial verification. Rather, it extends through the crucial phase of re-validation – an ongoing commitment to maintaining compliance and uninterrupted reimbursement. We recognize that re-validation is a pivotal aspect of safeguarding your practice’s financial health and reputation.
The Importance of Re-Validation:
Re-credentialing and re-validations are not just routine tasks; they are the pillars of sustained credibility and seamless operations. Here’s why they matter:
- Uninterrupted Reimbursement: The timely submission of re-validation applications ensures your payments continue without interruption. Missing deadlines could lead to delayed reimbursements or even contract termination.
- Continual Compliance: Healthcare regulations evolve, and re-validation ensures your practice stays aligned with the latest standards. This adherence safeguards patient trust and maintains ethical practice.
- Contract Maintenance: Re-validation is key to upholding your contract with insurance providers. Proactive re-validation solidifies your standing, fostering enduring partnerships.
How Primatac Supports Your Re-Validation:
We understand the intricate timelines and requirements involved in re-validation. We takes the burden off your shoulders, ensuring you never miss a crucial notice:
- Precise Monitoring: We meticulously track your re-validation timelines, proactively identifying impending deadlines.
- Timely Submissions: Our experts initiate re-credentialing or re-validation applications promptly, preventing delays that could impact your practice.
- Continuous Compliance: With Primatac as your partner, you can rest assured that your practice remains in compliance, avoiding disruptions to patient care and financial stability.
Stay Ahead with Primatac:
Re-validation isn’t just about paperwork; it’s a pledge to uphold the integrity of your practice. Our dedicated team ensures your re-validation process is seamless, allowing you to focus on delivering exceptional patient care.