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Credentialing & Provider Enrollment

Credentialing & Provider Enrollment

If you are tired of fighting with health payer representatives to make sure you and your healthcare providers are: clinically credentialed, have correct demographics loaded to their systems, and are properly (and timely) listed as “in-network” with your contracted payers, the team at Trillium Resources has your back. Our experts use decades of experience and strong working relationships with payer reps to streamline the credentialing process by:

  • Gathering all required credentialing information and documentation
  • Creating and maintaining CAQH profiles
  • Completing the endless series of commercial and governmental applications
  • Tracking credentialing status to mitigate hold-ups throughout the process
  • Providing real time status updates to practice management team
  • Working with billing personnel to assure accurate and timely reimbursement
  • Maintaining credentialing files
  • Updating expired or missing credentialing information
  • Re-credentialing when appropriate or necessary

A strong credentialing and provider maintenance plan can mean the difference between providing free care and getting paid for the services your healthcare providers render. You provide excellent care….you should get paid for doing so!