Simpler provider health plan enrollment
with 54+ health plans and network options
Simpler Provider Enrollment
Fifth Avenue Healthcare Services proudly owns and operates Primoris Credentialing Network, a renowned sister company specializing in streamlining provider enrollment processes. As the largest credentialing IPA (Independent Practice Association) in the Midwest, Primoris offers an extensive selection of 54+ health plans and networks as provider enrollment options. Our innovative approach enables seamless provider enrollment with over 25 payers through a single application.
With an unwavering commitment to growth and excellence, Primoris consistently achieves top marks in every health plan audit and NCQA audit, often attaining a perfect 100% score. This achievement reflects our dedication to maintaining robust people and processes that instill confidence in our valued providers.
For those interested in the significance of our name ‘Primoris’ and its relevance to our industry, we invite you to explore our enlightening blog post, delving into the deeper meaning behind ‘Primoris’ and its importance within our organization and the healthcare landscape.
Delegated agreements greatly speed up the credentialing and provider health plan enrollment process.
Additionally, delegated provider health plan enrollment provides a greater level of accuracy and oversight
through team audits and accountability.
54+ Options For Simpler Provider Health Plan Enrollment
Primoris Credentialing Network presents a comprehensive array of over 54 health plan and network provider enrollment options. Our specialized Primoris Network division takes charge of complete provider health plan enrollment administration, catering to delegated and non-delegated agreements. We assume responsibility for all administrative and functional tasks associated with completing these contractual agreements, ensuring that providers can commence billing and providing care to patients expeditiously.
Our services extend to assisting providers in the application and contracting processes with health plans, networks, and Medicare and Medicaid. Clients can conveniently reach out to Primoris via phone, text, or email to promptly verify PECOS (Provider Enrollment, Chain, and Ownership System) enrollment. Our trained specialists alleviate the need to navigate various databases and websites, offering a streamlined and stress-free experience. With minimal effort, you can access all the necessary information.
Simplicity is often underestimated and easy to screw up, but we excel in delivering it. In the case of delegated credentialing, a single application suffices to complete credentialing with over 25 health plans and networks, simplifying the process significantly. While delegated credentialing traditionally offers a faster route to credentialing and provider health plan enrollment, we leverage our extensive experience and deep relationships to expedite the credentialing process and payor enrollment even with non-delegated health plans and networks, enhancing both speed and expertise.
Delegated health plan enrollment
Primoris Credentialing Network proudly facilitates both delegated and non-delegated contracts, assuming all requisite administrative and functional responsibilities to expedite both types of contractual work. Our primary aim is to enable providers to swiftly commence billing and attending to patients.
In the case of delegated contract relationships, the traditional route offers a faster pathway to complete credentialing and provider health plan enrollment. However, our extensive experience and robust affiliations within the realm of non-delegated health plans and networks significantly enhance the efficiency and expertise we bring to the credentialing and provider health plan enrollment processes.
Primoris holds delegated contracts with prominent health plans and networks, including industry giants such as Aetna, Humana, UnitedHealthcare, and numerous others. These delegated contracts empower Primoris to employ a unified application, expediting the addition of providers far more efficiently than the conventional approach of submitting individual applications to each health plan. This accelerated process enables providers to begin their patient care and billing activities much sooner.
Our commitment to expansion and growth remains unwavering, as evidenced by our continuous entry into new states, including Missouri and Illinois, and our ongoing addition of new health plans and networks. Please refer to the list below for a comprehensive overview of our delegated health plans and networks.
Delegated agreements allow Primoris to add a provider to our health plans much faster than the conventional method of sending an application to each health plan, ultimately allowing providers to see patients sooner and begin billing faster.
Delegated provider health plan enrollment includes
Non-delegated provider enrollment
Primoris maintains non-delegated agreements for health plan enrollment with prominent entities such as BCBS, Community Care, Medicare, and a diverse array of numerous other payors. Our footprint extends across the Midwest, encompassing multiple states such as Missouri, and Illinois. A detailed breakdown of our entirely administered, non-delegated health plans and networks can be found below for your reference and further exploration.
In the realm of Medicare and Medicaid, Primoris adopts a hands-on approach, offering comprehensive administrative services that span from the initial application process to ensuring the completion of enrollment. Providers can easily reach out to Primoris via phone, text, or email to gain valuable insights into their status and swiftly verify PECOS (Provider Enrollment, Chain, and Ownership System) enrollment. Our team of trained specialists stands ready to alleviate the need for navigating a multitude of databases and websites, providing a streamlined and stress-free experience. We are committed to delivering all the essential information you require with minimal hassle.
Our extensive experience and strong relationships with these health plans and networks grant us the connections and expertise necessary to expedite credentialing and health plan enrollment for our IPA members, ensuring swifter processing speed and enhanced efficiency.
Non-delegated, fully administered provider health plan enrollment includes
Primoris’ provider health plan enrollment allows our enrolled providers
to start seeing patients sooner and begin billing faster.
Proprietary technology solutions supported by a team with
a combined 385+ years of industry experience yield a faster,
more efficient provider health plan enrollment.
With continued high scoring in every health plan audit and NCQA audit, often scoring a perfect 100%, Primoris has the people and processes to provide confidence to our providers.
For more information on the credentialing industry, including updates on COVID, telehealth, health plan and network updates from payors such as BCBS, Humana, and UnitedHealthcare, articles on the 6 Cs of Charting, Contracting or Top 10 States Seeing Double-Digit Premium Increases and even our partnership spotlights, check out our credentialing blog or contact us with any questions.
Our credentialing blog includes important information on important accreditation standards such as NCQA, URAC, AAAHC, and The Joint Commission.
There are numerous benefits to credentialing with Fifth Avenue. We are here to help.
Join 1000s of Providers
Whether you require support with primary source verification (PSV) or provider enrollment, we invite you to join the ranks of thousands of providers, including doctors, surgeons, medical practices, rural hospitals, and large medical groups nationwide. Benefit from the powerful synergy cultivated by Fifth Avenue.