Credentialing
Effective provider credentialing services are the absolute necessity for better
performance of the practice. Without proper enrolment, payments can be delayed or
refused by the insurance carriers, even if the physician is able to provide services
that are competent and medically necessary.
We at Grosvenor Park Dental offer Physician credentialing services, helping Providers achieve
better revenues.
Our Services
Initial Contract Request -
Government payers (Medicare, Medicaid, Tricare & VA)
(Includes letter of intent & follow up)
Initial Contract Obtaining -
Commercial Payers - Includes enrollment for 1 provider.
(Includes letter of intent, appeals, follow up & fee schedule review / comparison)
Initial Contract Negotiation
(Optional)
(If we are unable to successfully negotiate a fee increase from the original
proposal we will not charge any fee for negotiation)
New Provider Enrollment or
re-enrollment
(Adding additional providers to group contracts)
Services Included
Information Gathering (Contacting all
payers for participation status, effective dates etc.)
Contract Negotiation
Dedicated Account Representative
Enterprise level credentialing
information tracking tool (Smartsheet)
Provider Status Updates
Provider Medical License Tracking
Provider DEA Tracking
EFT Enrollments