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Credentialing

Credentialing

QuantamX Credentialing Services

Streamline Your Provider Enrollment with Precision

At QuantamX, our credentialing services ensure healthcare providers are seamlessly enrolled with insurance payers, enabling faster reimbursements and uninterrupted patient care. We handle the complex, time-consuming process of provider credentialing, so you can focus on delivering quality care while we secure your place in payer networks.

Why Choose QuantamX for Credentialing?

We manage applications, verifications, and payer communications to expedite approvals, often reducing processing time to 60-90 days.

Our experts validate licenses, certifications, education, and work history to ensure compliance with payer and regulatory standards.

Proactive tracking and follow-ups prevent delays, ensuring providers are credentialed swiftly and accurately.

Advanced encryption and strict adherence to HIPAA regulations protect sensitive provider and patient data.

Competitive rates starting at $12/hour or a flat fee per provider, with no setup costs or long-term contracts.

From solo physicians to large healthcare systems, we customize solutions for all specialties and practice sizes.

Our Credentialing Services Include:

 
  • Provider Enrollment: Complete management of applications for commercial payers, Medicare, and Medicaid, ensuring accuracy and compliance.
  • Credential Verification: Thorough primary source verification of licenses, certifications, board status, and work history to meet payer requirements
    • CAQH Profile Management: Creation, updates, and re-attestation of CAQH profiles to streamline credentialing and maintain compliance.
    • Payer Liaison: Direct communication with insurance companies to resolve issues and expedite approvals.
    • Re-Credentialing: Ongoing monitoring of expiration dates and proactive re-credentialing to keep providers in-network.
    • Custom Reporting: Real-time status updates and dashboards to track credentialing progress and ensure transparency.

Benefits for Your Practice

Faster Revenue Flow: Speedy enrollment reduces time-to-revenue, enabling quicker reimbursements.

Reduced Administrative Burden: Eliminate the paperwork and complexity of credentialing, freeing your staff for patient-focused tasks.

Regulatory Compliance: Stay aligned with CMS, OIG, and payer-specific requirements, avoiding penalties or exclusions.

Strategic Network Selection: We guide providers to choose optimal insurance networks based on practice focus and patient demographics.

Why QuantamX Stands Out

Our experienced team, backed by advanced technology, simplifies the credentialing process with precision and speed. We leverage insider knowledge of payer requirements to ensure error-free applications and maintain up-to-date CAQH profiles for seamless re-credentialin QuantamX, you gain a trusted partner dedicated to keeping your practice compliant and financially optimized.

Get Started Today

Contact QuantamX for a free credentialing assessment and discover how we can accelerate your payer enrollment process. Focus on patient care while we handle the rest—no long-term commitments, just results.