Provider Enrollment

Top Reasons to Automate Provider Enrollment with CredentialStream

What is Provider Enrollment?


Provider Enrollment (or Payer Enrollment) refers to the process of requesting participation in a health insurance network as a provider. Provider Enrollment for Commercial Insurance networks, involves two steps: credentialing and contracting. Credentialing involves a detailed review of a care provider’s qualifications and career history including their education, training, residency and licenses, and specialty certificates. Contracting occurs once a provider has achieved Credentialing.


Provider Enrollment in government health programs, including Medicare and Medicaid, is a bit different. These organizations utilize PECOS (Provider Enrollment and Chain/Ownership System). PECOS enrollment allows registered users to securely and electronically submit and manage enrollment information.


Why is Provider Enrollment Important to You?


Enrolling providers is the first step in your revenue cycle. Without an efficient and effective solution in place, your revenue cycle will suffer due to claims on hold and denials. By automating and standardizing provider enrollment, you’ll get paid faster.


With VerityStream's provider enrollment solution, CredentialStream, you can harness the unmatched power of our platform, content, and data.


Credentialing Software
 

Learn More About VerityStream's Provider Enrollment Solution

Site Monitoring

Platform


Data Collection

Content


Automation

Data


Provider Enrollment - Fast

Speed Up Your Provider Enrollment Process


Only about half of the enrollment professionals we surveyed use some type of software solution to help automate their processes. When it comes time to automate, you shouldn’t have to waste time creating new enrollment processes from scratch. With CredentialStream, you get:


  • Best practice workflows and a deep library of instantly deployable content
  • The ability to rapidly launch and manage best practices for provider enrollment, expirables management, data validation, integrations with other systems, online provider tools, and more

Delight Your Providers by Offering Intuitive Enrollment


Only about half of the enrollment professionals we surveyed use some type of software solution to help automate their processes. When it comes time to automate, you shouldn’t have to waste time creating new enrollment processes from scratch. With CredentialStream, you get:


  • Intuitively formatted privilege delineation forms with ICD-10 and CPT codes, and FPPE requirements
  • The ability to rapidly launch and manage best practices for provider enrollment, expirables management, data validation, integrations with other systems, online provider tools, and more
Provider Enrollment - Delight Your Providers

Provider Enrollment - Collaborate and Go Paperless

Truly Collaborate and Go Paperless


Time is money. If you’re still using paper-based applications, performing manual verifications, stuffing letters into envelopes, and waiting on hold to follow up on an enrollment status, you’re wasting dollars. CredentialStream delivers:


  • An always available one-stop shop for your team and your providers to access and share enrollment data
  • A single, centralized repository where you can easily upload, store, and share as many files as you need to


Create a Single Source of Truth


As the industry continues to shine a light on patient outcomes, hospitals, medical groups, healthcare providers, patients, payers and everyone in between, will need to collaborate and share data in new ways. With CredentialStream:


  • Features up-to-date, standardized industry data tables that place all the data you need within easy reach including data from: payers, hospitals, malpractice authorities, universities, state and local regulators, the DEA, and more
  • Ensures your patients always receive competent care from qualified people

Provider Enrollment - Source of Truth

Provider Enrollment - Easy to use Reports

Report with Ease


Your enrollment solution will collect massive amounts of data. CredentialStream converts that data into graphical, easy-to-interpret, actionable insights that will reveal:


  • The efficiency of your enrollment processes
  • Your performance compared to those of other "like" organizations


At VerityStream, we currently serve over 2,400 hospitals and 1,300 outpatient facilities in the U.S. including ambulatory surgery centers, urgent cares, and medical groups. We’d like to help you automate provider and PECOS enrollment too!

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