Complete CREDworks understand the administrative hassle of the day-to-day operations in managing provider enrollment and medical credentialing. We work closely with payers. Our goal is to guarantee the prompt processing of provider enrollment and credentialing. We also collaborate with our clinical providers, serving the behavioral and mental health community. Outsourcing is key when it comes to working with payers. It is cost effective and most importantly, it controls the administrative overhead.
Complete CREDworks offer solutions and services tailored to fit your practice needs:
Provider Enrollment/ Insurance Panel/ Credentialing & Recredentialing
- Streamlined Web-based process available for enrolled providers
- Applications and all required credentialing documents will be uploaded and maintained in client specific database system
- Council for Affordable Quality Healthcare (CAQH) Maintenance
- Records will be closely monitored for expiring documents (practitioner’s license(s), board certification, DEA, etc.)
Credentialing Verification Organization (CVO), Primary Source Verification
- One-source, web-based application used for initial credentialing
- Completed files and verification records are:
- Uploaded
- Maintained within the system
- Includes integration with:
- Provider Enrollment, Chain, and Ownership System (PECOS)
- Federal and state databases
- Required medical malpractice insurance documentation
Payer Contract Negotiations
- Manage the payer contracting process for all executed contracts
Complete CREDWORKS with D.R. Group, LLC 