Credentialing and Enrollment Services

Increase revenue, improve patient referrals, and boost practice reputation

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Provider credentialing is a process whereby healthcare institutions or insurance companies thoroughly verify a physician’s qualifications and/or competence before issuing them a medical license to practice medicine.
This process takes anywhere from several weeks to several months to complete, depending on the complexity and length of the review process. To enroll in a health insurance plan, physicians are required to undergo a similar process called physician enrollment.

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Maintain Credibility and Medical Reputation

Both processes are designed to protect providers and their patients by making sure that only qualified physicians are allowed to practice medicine and that each patient is appropriately covered by health insurance. Mistakes in credentialing often lead to financial losses, delays in claim reimbursements, fines, and penalties from medical boards, and the loss of credibility when lawsuits move forward.
The better prepared providers are, the fewer financial losses they incur.

We at GoBill ensure your practice gets promptly enrolled with all the large insurance networks and comply with the requirements at every step of the application process, helping your practice grow faster.

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GoBill Provider Credentialing & Enrollment Solutions

Our solutions actively eliminate risks of legal liability and boost provider referrals by:

Collecting Provider Credentials

Scrutinize the provider and healthcare facility documentation like practice license, work history, peers, education qualification, etc.

Policy Compliance

Fully comply with state standards and policy guidelines

Administering License Enrollment

All physician applicants in a facility are enrolled and the CAQH database is updated with their current contacts and licensing information

Optimizing the Staff Credentialing Process

We work with the provider facility to set a process for verifying credentials along with the hiring process and background checks to prevent future inconveniences for them or their patients

Negotiating Payer Contracts

We periodically re-evaluate and negotiate payer contracts for maximum revenue potential

Major Insurance Networks Enrollment

We get you credentialed and enrolled with commercial and governmental insurance networks

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Do More With GoBill

  • ERA enrollment.
  • EFT enrollment.
  • NPI linking to a group.
  • In-network & out-of-network benefits.
  • Yearly contract negotiations.
  • Expand your insurance network.
  • Increase patient satisfaction.
  • Free time for patient care.
  • Reduce claim denials.
  • Get paid faster.

We handle the application process and regularly update and verify your qualifications, so you don’t have to worry about potential problems along the way.

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Ready To Enroll

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