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Credentialing

Effective provider credentialing services are crucial for optimal practice performance. Without proper enrollment, insurance carriers may delay or deny payments, even if the physician's services are competent and medically necessary.

At Top Group Med, we provide physician credentialing services to help providers achieve improved revenues.

Our Services

Initial Contract Request - Government Payers

Medicare, Medicaid, Tricare & VA

Includes letter of intent & follow-up
Initial Contract Obtaining - Commercial Payers
Includes enrollment for 1 provider.

Includes letter of intent, appeals, follow-up & fee schedule review/comparison

Initial Contract Negotiation (Optional)

If we are unable to successfully negotiate a fee increase from the original proposal, we will not charge any fee for negotiation.

New Provider Enrollment or Re-enrollment

Adding additional providers to group contracts

Services Included

Information Gathering
Contacting all payers for participation status, effective dates, etc.
Contract Negotiation
Dedicated Account Representative
Enterprise-level Credentialing Information Tracking Tool
Smartsheet
Provider Status Updates
Provider Medical License Tracking
Provider DEA Tracking
EFT Enrollments