MAVA Care provides standardized and unified medical credentialing services that enable you to stay ahead of the curve. Our medical credentialing procedure is completely automated and powered by artificial intelligence, so you never have to wait any longer. Our provider enrollment and credentialing services permit you to be certified and comply with state and federal standards when providing healthcare services. We continually follow up on the application until you enroll.
Our provider enrollment and credentialing services assist you in avoiding claim delays and reducing confusion associated with insurer enrollment, among other things. Whether you want to enroll as a provider for Medicare or Medicaid, we have a solution for you. Our medical credentialing professional can help you start with papers and sign up for commercial and non-commercial insurance.
An internal or external credentialing department completes the whole process. In either case, the processes involved with provider credentialing are the same three-step process.
After all information has been gathered, the place of care makes a final determination. If successful, clinical privileges are provided to the provider. Enrolling in health insurance plans can be difficult and time-consuming if you are not skilled. Our credentialing staff at MAVA Care is competent and will work on your behalf to get you credentialed quickly and easily.
Medical professionals all around the country rely on our medical credentialing services. Rely on our experience for easy, compliant, and effective credentialing services and join the ranks of happy practitioners.
Achieve brilliance without going over budget with our affordable solutions, which are made to optimize the return on your credentialing expenditure.
Hours of paperwork and phone calls are required for in-house medical credentialing services, which calls for on-site staff. In addition to saving time and money, outsourcing these services guarantees that healthcare practitioners provide care and are paid for it.
Your documents are handled smoothly, accurately, and efficiently due to AI. Our team of experts thoroughly examines every element before submission, giving you a two-layered strategy that blends cutting-edge technology with human expertise.
Using our special method, you may get a consolidated, all-inclusive portfolio of your credentialing paperwork, making it easier to share the relevant data with different healthcare organizations.
We are dedicated to quick turnaround times, so you can start practicing or providing new services immediately. You’ll experience that our medical credentialing services are fast and prompt.
Our provider credentialing procedure is systematic, dated, and certified, ensuring the highest compliance requirements. We have had up to a 98% success rate in getting doctors authorized in premium payer networks with full privileges in their respective specialties. The method generally includes the following steps:
Our credentialing procedure begins with an in-depth survey administered by our credentialing specialists. This method entails conducting extensive interviews with providers to collect critical information such as license numbers, educational years, demographics, and professional credentialing services.
Our medical credentialing services assist doctors in carefully selecting insurance partners that match their practice objectives and license type, and then finalizing insurance panels depending on practice location.
We manage CAQH application submissions, and ProView accounts, and keep credentials up to date to ensure a seamless primary source verification process. We also help with payer credentialing submissions, ensuring that insurance panels are integrated quickly and accurately, which improves network involvement and patient care.
Although the normal timeline is 60-120 days, our provider credentialing professionals take active measures to speed up the process. Our team communicates with payers every week, and advocates for the expedited processing and approval of your credentialing applications.
Your application will enter the contract phase once the credentialing process is completed. An in-network contract, with cost schedules and eligible CPT billing codes, may be available. We manage closed panel disputes and appeals to ensure your participation. Direct billing becomes possible after successful credentialing, generally with favored reimbursement rates for in-network providers.
We register providers in Medicare and Medicaid, the two largest health insurance programs in the United States, which cover millions of Americans. These programs allow providers to grow their patient base, enhance their revenue, and comply with federal and state requirements.
We offer credentialing services for commercial insurance payers like Aetna and Humana. These are private health insurers that provide a variety of plans and networks to their members. Credentialing with these companies allows clinicians to reach more patients and negotiate higher payment rates.
Our credentialing service enables providers to enroll in the HMO, EPO, PPO, and Medicare DMEPOS programs. Enrolling in this program allows providers to offer these things to Medicare members, improve their quality of care, and receive Medicare reimbursements.
