Insurance Contracting Services

One of the most important considerations with your company is ensuring you will have sustainable funds. Our consultants can help you make this process easy. 

Application Services

The first step in credentialing is the complicated application process. Let one of our application specialists help you through the process.

National Provider Identifier (NPI) Applications

Medicaid Applications For All Provider Types

Re-validation Medicaid Applications

Medicare Part A Hospital and Clinic Applications

Medicare Part B Provider Applications 

Texas HMO or DMO Texas Department of Insurance applications

Accreditation applications for ACHS, NCQA, AAAAASF, Joint commission, CHAP

All Private Payer Applications

Payer Contract Consulting

Identifying and pursuing the correct payer for your company can be a stressful and lengthy process. Here's how we can help you navigate this process. 

Identify payers in their target service area and patient population

Contact payers and began the contract acquisition process

Complete credentialing applications and maintain active communication

Obtain the best payer rates

Facilitate the contract signatures

Monitor and report the final enrollment

Loading  client into the payer's system

On-Going Credentialing Management Services 

Once enrolled in payer contracts, the challenge is to remain enrolled with the payers. We can help you with this. 

Monitor contract re-credentialing dates and re-enrollment applications as they come due

Add or delete credentialed providers to current contracts/agreements

Update the contracts with provider changes

Provide monthly reports on re-credentialing status, re-credentialing due dates and license renewals

Managed Care Provider Services

We provide initial enrollment and maintenance services with payers such as, but not limited to the following:

Aetna Better Health

Amerigroup

Aperture

American Specialty Health

BCBS of Texas

Cigna

Community First Healthplan 

Arepas

Community Health Choice 

Cook Children's Health Plan

Dell Children's Health Plan

Driscoll

El Paso First

FirstCare

Health Spring

Humana Tricare

Molina

MultiPlan

Optum Health

Parkland

Sendera Health Plan

Scott & White Health Plan

Superior

Texas Children's Health Plan

TriWest

United

WellMed Medical Management

Fajitas

Contact Us!

Learn more about what we can do for you.