Provider enrollment is a critical requirement that allows a provider to begin billing. Provider enrollment with a payor can be pretty complicated and time-consuming. ONE mistake can cost providers and their organization’s money, but partnering with Primoris Credentialing Network can help streamline and speed up the provider enrollment process.
Provider enrollment is the process that enrolls healthcare providers with insurance plans, networks, Medicare, and Medicaid. This process enables providers to begin billing patients for services so they can start bringing in revenue for themselves and where they practice. Provider enrollment is foundational to the medical revenue cycle.
Provider Enrollment: Three Stages
Provider enrollment, while complex, can best be discussed by breaking down this lengthy process into three stages:
- The first stage of the provider enrollment process is the provider credentialing.
- The second stage of provider enrollment requires the healthcare provider to complete the payer enrollment application.
- The third stage will see credentialed providers being offered a contract allowing them to participate in the health plan they applied for.
For details and to learn more on each stage, read What are the 3 Stages of Provider Enrollment? from the Fifth Avenue credentialing blog.
Provider enrollment might seem simple, but every step contains tasks requiring specialized knowledge, organizational skills, and a keen eye for detail. From applying to being accepted, the process can take months – up to 180 days per the AMA. However, through Primoris, we are seeing averages well below 30 days. The worst-case scenario is ONE full of administrative errors that can slow the process to a standstill. This adverse scenario can result in delayed payments to providers.
Primoris Credentialing Network has ONE simple goal: to provide faster, inexpensive, and better provider enrollment.
How does Primoris accomplish that lofty task? They combine experienced talent with innovative technology to create a better, simpler process for their providers and administrators. ONE of the country’s only credentialing independent practice associations (IPA), Primoris, offers 54+ health plan and network options for provider enrollment. Primoris services providers in Illinois, Texas, and Missouri and is the largest credentialing IPA in the Midwestern United States.
ONE Provider Enrollment Application
Provider health plan enrollment includes 25+ delegated health plans and networks via ONE application. Another 25+ non-delegated health plan and network options are also available, allowing a variety of providers to get enrolled as quickly as possible. Primoris is the ONE company that can give this superior customer service.
ONE Provider Enrollment Point of Contact
Primoris offers its members ONE point of contact for the 54+ health plan and network options. This access also means ONE point of contact for all delegated and non-delegated enrollment.
Providers and administrators must only remember ONE email address or phone number to get help. Primoris aims to keep it as simple as possible.
ONE Experienced Provider Enrollment Team
ONE reason Primoris became the largest credentialing IPA network in the Midwest is its remarkable team. Primoris is backed by 385+ years of combined industry experience. This knowledgeable team has the expertise to develop and perfect the enrollment process.
By streamlining the provider enrollment process, they can help providers and administrators with the efficiency demanded in today’s challenging business world.
Enrolling providers faster means providers can begin billing more quickly than the standard timeframes would allow. Primoris can typically enroll a provider in less than 30 days compared to the conventional 90-120 days.
ONE Provider Enrollment Member Portal
The Primoris Credentialing Web Portal provides users easy access to all their credentialing data files. ONE login is all needed to enjoy the benefits of organized and accessible data. Users can access their information whenever they want. They can even give multiple administrators unique logins with custom permissions.
An easy-to-use web portal can offer providers a measure of flexibility. They do not have to contact anyone to get the information they need. ONE login on ONE web portal is all it takes to acquire their provider files.
ONE Secure Credentialing Ecosystem
The Primoris Credentialing Web Portal is the ONE ecosystem where all provider data lives. This data contains sensitive information that requires confidentiality and safety. That is why we built the system with security in mind.
Provider data and activity is safely secured in the system. Providers don’t have to worry about a team member locking file cabinets at night or securing loose paperwork. Every piece of provider credentialing information is logged and securely stored.
Primoris can help providers maintain a safe data collection and storage process for their credentialing files. This is just ONE more reason to partner with Primoris.
ONE Path to a Better Provider Enrollment Budget
With Primoris, credentialing costs become fixed. Providers don’t have to worry about hidden or confusing fees. Fixed, flat costs can help physician budgets by mitigating and sometimes eliminating ongoing financial concerns around new employee training during employee turnover or labor replacement costs when an employee is out of the office sick or on vacation.
Your Primoris credentialing team is always working for you. Primoris’ flat costs might yield ONE point of contact, but they also allow access to a team of industry professionals with 100s of years of experience.
ONE Simple Provider Enrollment Solution
Utilizing ONE delegated enrollment application, the team at Primoris can enroll a provider with 25+ payor plans at once.
Primoris Credentialing Network provides administrative simplicity through:
- ONE provider enrollment application for 20+ delegated payor options,
- ONE provider enrollment team for 20+ non-delegated payor options,
- ONE point of contact,
- ONE email to remember,
- ONE phone number to use,
- ONE experienced team with 385+ years’ experience,
- ONE provider data ecosystem and
- ONE secure login.
More information about Primoris Credentialing Network
Primoris Credentialing Network is NCQA Credentialing Accredited specializing in credentialing and provider enrollment with 54+ health plan and network provider enrollment options. Primoris is a family member of Fifth Avenue Healthcare Services. Sister companies include 5ACVO (credentialing and primary source verification specialists) and Fifth Avenue Agency (MPLI and medical malpractice specialists).
Primoris Credentialing Network originally published this article here. For more information on Primoris Credentialing Network, please visit PrimorisCredentialingNetwork.com or Contact Us.
