Provider Enrollment & Credentialing Services

At Precise Billing Services (PBS), we provide comprehensive support for your enrollment and credentialing needs. Our services encompass a wide range of providers and entities, including:

1. Commercial Insurance Provider Enrollment and Credentialing: We assist with enrollment and credentialing for major commercial insurance providers such as Aetna, Anthem, BCBS, CIGNA, TriCare, Humana, UnitedHealthcare, and many more.
2. Medicare and Medicaid Provider Enrollment and Credentialing: Our team is experienced in handling the enrollment and credentialing processes for Medicare and Medicaid, ensuring compliance with government healthcare programs.
3. Medicare and Medicaid Revalidation: We can help you with the important process of revalidating your Medicare and Medicaid enrollment to maintain your status as a healthcare provider.
4. PECOS (Provider Enrollment, Chain, and Ownership System): PBS streamlines your enrollment through PECOS, ensuring that your information is up-to-date and accessible to Medicare.
5. CAQH Registration: We handle the registration and maintenance of your CAQH (Council for Affordable Quality Healthcare) profile to simplify the credentialing process with participating payors.
6. NPI Registration (Type I and Type II): Our team assists in obtaining both Type I and Type II National Provider Identifier (NPI) registrations, essential for healthcare billing and identification.
7. Reimbursement Issues: PBS helps you address reimbursement challenges, ensuring that you receive accurate and timely payments for your services.
8. Managed Care Contracting Issues: We provide guidance and support in navigating the complexities of managed care contracting, ensuring favorable agreements for your practice.
9. Hospital Privileging: Our services extend to hospital privileging, assisting you in obtaining the necessary credentials to practice within hospital facilities.

When you use Precise Billing Services (PBS) for provider enrollment and credentialing services, you receive a comprehensive and hassle-free experience that includes the following key benefits:

1. Dedicated Credentialing Manager: PBS assigns a dedicated credentialing manager who serves as your representative when dealing with both commercial and government payors. This expert is your advocate throughout the enrollment and credentialing process, ensuring your interests are prioritized.
2. Streamlined Application Handling: PBS takes care of all the paperwork and application processes on your behalf. This includes dealing with various payor networks and government entities, saving you valuable time and effort.
3. Real-Time Status Reports: You'll receive regular status reports that keep you informed about exactly where you stand in the credentialing process with each payor. This transparency allows you to stay up-to-date and plan accordingly.
4. CAQH Profile Maintenance: PBS actively maintains and updates your CAQH (Council for Affordable Quality Healthcare) profile. This is essential for ensuring your information remains current and accessible to participating payors.
5. Thorough Credentialing Requirements: PBS handles all the necessary credentialing requirements for each payor meticulously. This includes verifying qualifications, licenses, certifications, and other essential documentation, ensuring compliance with payor standards.
6. Follow-Through to Completion: The PBS team doesn't stop at fulfilling initial credentialing requirements. They see the process through to completion, ensuring that you successfully become an in-network provider with each payor.
7. Contract Management: PBS diligently tracks and manages all payor contracts from the initial application to the contract load date. Once the contract is fully executed, they provide you with a copy of the agreement, as well as fee schedules, ensuring you have all the contractual information needed for your practice or billing company.