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Credentialing & Enrollment

ProSperus provides physicians with physician credentialing department and enrolling services. Physician enrollment can be performed with the insurance carriers and networks of your choice. The ProSperus credentialing department also provides frontline knowledge to our clients on the latest trends in provider identification information such as the Coalition for Affordable Quality Healthcare (CAQH).

Our physician credentialing experts will fill out the applications for you. You will be provided with a dedicated specialist who will provide constant follow-up and feedback and the assurance that applications are completely filled out correctly the first time. We will also retain electronic copies of all documents and let physicians know when documents are expiring. These tasks can be performed for one carrier or multiple carriers and networks.

ProSperus credentials providers in accordance with the current standards set forth by:

  • National Committee for Quality Assurance (NCQA)
  • Joint Commission on Accreditation of Healthcare Organization (JCAHO)
  • Utilization Review Accreditation Commission (URAC)

We fulfill initial credentialing and re-credentialing verification requirements.

Credentialing has a well-earned reputation as a labor-intensive, tedious process. The process requires a persistent tenacity to ensure that your application does not just sit on the provider’s desk. Credentialing is no longer a part-time assignment; it requires the full-time attention of trained credentialing specialists. ProSperus will provide constant monitoring to assure your applications are completed and returned in the quickest possible timeframe.
 

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