Medical Provider Credentialing Services to Help Your Practice
Our provider enrollment and credentialing services offer a cost-effective solution for providers seeking in-network payment for patient services.
Provider Enrollment Services (PES) Includes:
Contract negotiations
CAQH registration & maintenance
Medicare and Medicaid revalidation
NPI registration (Type I and Type II)
Dedicated customer support team
PECOS
Commercial insurance enrollments and credentialing
Medicare and Medicaid enrollment and credentialing
“We have had nothing but success since moving to Advantum. They have resolved all issues, ensured consistency among providers and been successful in quick turnaround. Advantum has exceeded our expectations!”
Tracy Pion, PES | Wood River Health Services
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More Ways Advantum Supports Providers
Provider Enrollment
Medical Billing
Revenue Cycle Management
RCM Services
Medical Coding
Insurance Credentialing
Advantum Health Streamlines Your Provider Enrollment & Credentialing for Faster Reimbursements
To ensure a successful provider enrollment process, our team carefully reviews and verifies all required documentation before submitting your information to the payer. We confirm the accuracy of licenses, certifications, group names, Medicare/Medicaid TINs, malpractice insurance, and more, across all paperwork, to ensure your application is accepted on the first attempt.
Our medical provider credentialing services team not only manages your initial enrollment but also maintains your information on CAQH, keeping you informed of any required re-enrollment or expirations. We serve as your advocate and liaison with your payers, making the insurance credentialing process as seamless and stress-free as possible.
Avoid Delays and Errors with Our Comprehensive Provider Enrollment and Credentialing Support
Provider enrollment is crucial for healthcare providers seeking to receive reimbursements for their services. Enrolling in insurance networks enables providers to establish in-network agreements, which often result in higher reimbursements than out-of-network providers. Proper medical provider credentialing services and RCM services help providers establish a professional reputation, expand their patient base, and ensure accurate medical billing and medical coding—ultimately leading to increased revenue and financial stability.