Accelerating Provider Enrollment and Maintaining Compliance
Credentialing and provider enrollment are complex, time-consuming administrative burdens that directly impact revenue potential.
Nexiqor’s Credentialing Services ensure that your physicians, practitioners, and facilities are quickly and accurately enrolled with all relevant commercial and governmental payers. We manage the meticulous application process, track status updates, and proactively handle re-credentialing, minimizing gaps in coverage and ensuring your providers are reimbursed for their services without delay.
Provider Enrollment
End-to-end management of new provider applications for federal (Medicare/Medicaid) and commercial payers. We handle CAQH, NPPES, and all necessary documentation to secure swift participation.
Re-Credentialing
Timely execution of re-credentialing and re-validation requirements. We proactively monitor deadlines and ensure all necessary documentation is updated to maintain continuous network participation.
Contract Negotiation
Assistance with reviewing and negotiating favorable reimbursement rates and terms with payers. We analyze contract performance to identify areas for improved profitability.
Ongoing Monitoring
| Continuous monitoring of provider profiles and licensing statuses. We ensure compliance with state-specific regulations and promptly update payer files to prevent billing disruptions. |
