Smart Medical Billing

Credentialing & Contracting

Credentialing and Contracting are critical to ensuring compliance in all aspects of the process and you, and your practice, remaining compliant with the various governmental entities.

To become a reliable health care practitioner or group, credentialing is mandatory to be done well ahead of claims submission. There are several companies out there in the marketplace nationwide. We are one of the finest, facilitating the entire process of credentialing and Contracting. Both individual and group practices are being successfully enrolled by credentialing experts.

What We Offer

Followings are the major services of Credentialing and Contracting Department.

  • Medicare & Medicaid Enrollment
  • Individual Enrollment
  • Re-Validation
  • Demographic Updates
  • (Address, Ownership, New Location, Adding Provider to practice, New Phone/Fax #)
    TIN & NPI Registration
  • Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) Setups
  • Group Enrollment
  • Reassignments
  • Renewal of Contracts
  • Negotiations on Out of Network Fee Schedules
  • Electronic Data Interchange (EDI) Setups with multiple EMRs
  • CAQH profile updates
  • In-Network and Out of Network contracts