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Credentialing

If you are medical provider looking to securely store your credentials with built-in reminders to stay on top of important renewal dates, you have come to the right place. ViTel delivers the best digital credentialing process to insure speed and accuracy. Looking for a new job, joining a new provider network, or expanding the insurance carriers you work with, ViTel has the expertise and solutions you need.  

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Get Credentialed with ViTel Digital, Professional Credentialing Services

As a ViTel Essentials Member, you have your own Physician Vault to securely store all of your information and documents for credentialing, including automatic reminders for important renewal dates.

By upgrading to the Enhanced Membership, ViTel will provide professional credentialing for employment opportunities, provider networks, and in-network insurance carriers. Credentialing services typically bill $275 - $425 per network credentialed. As a ViTel Enhanced Member, you may request an unlimited number of networks to be credentialed - and in many cases - we’ll get you credentialed in half the time other services take!

What is Healthcare Provider Credentialing?

Provider credentialing in healthcare is the process by which medical organizations verify the credentials of healthcare providers to ensure they have the required licenses, certifications, and skills to properly care for patients.

The process is typically used by physicians, and is sometimes referred to as physician or doctor credentialing, or medical credentialing.

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How Long Can the Credentialing Process Take?

A physician can be credentialed to work at a hospital - or credentialed and approved to be in-network for a health insurance company - in 30 days, under a best-case scenario. In many cases, the process can take 60 to 90 days and even longer, if you have to spend a lot of time pulling together all of your information and documents. And sometimes, especially with insurance companies, it can take six months or longer. Working with an experienced, digital credentialing company, like ViTel, will ensure you have the latest state-specific information regarding credentialing. You also own your credentials, with the ability to send an electronic credentialing package to any third party you choose.

Typical Information Captured in the Credentialing Process

  • Name
  • Previous/other names
  • Gender
  • Ethnicity
  • Mailing address
  • Email address
  • Daytime phone number
  • Citizenship information
  • Recent photograph
  • Current CV
  • Date of birth
  • Social Security number
  • Licensing
  • Specialties
  • Education and training
  • Residency
  • Specialty certificates
  • Career history
  • Patient age focus
  • Languages spoken
  • Hospital affiliations
  • Medical group affiliation
  • Practice address
  • Practice Tax ID Number
  • Practice phone number
  • Primary practice contact

 

  • National Provider Identifier (NPI) number
  • Board certification
  • Acceptance of new patients
  • Sanctions or disciplinary actions
  • Malpractice claims history
  • Proof of professional liability insurance
  • Continuing medical education documents
  • Peer references
  • Qualifications
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What You Get with Our Physician Credentialing and Provider Enrollment Services

Our provider enrollment and physician credentialing services are designed to eliminate all of the headaches, reams of paperwork, and potential confusion when dealing with insurance companies and other entities that require credentialing. Our goal is to be your partner and navigate the complicated process of provider enrollment, saving you time and money. We will handle the entire enrollment and provider credentialing process - from start to finish - giving you time to focus on the important stuff, treating your patients!

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Credentialing Manager

A dedicated credentialing manager to represent you with commercial and government payors.
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Application Support

All applications and necessary paperwork completed on your behalf with the desired payor networks and government entities.
 
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Status Reports

Status reports so you know where you are in the process with each payor.
 
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Credentialing Requirements

Complete all necessary credentialing requirements for each payor and follow through to completion.
 
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CAQH Profile

Maintain and update your CAQH profile.
 
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Payor Contracts

Follow all payor contracts through to contract load date, and provide copy of fully executed contract and fee schedules to your practice or billing company.
 

Other Services We can Assist With

  • CAQH Registration
  • Commercial Insurance Provider Enrollment and Credentialing (e.g., Aetna, Anthem, BCBS, CIGNA, Humana, UnitedHealthcare, and more)
  • Hospital Privileging
  • Managed Care Contracting Issues
  • Medicare and Medicaid Provider Enrollment and Credentialing
  • Medicare and Medicaid Re-validation
  • NPI Registration (Type I and Type II)
  • PECOS
  • Reimbursement Issues
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See How ViTel Will Help You

Call us today to discuss your custom telehealth platform needs or to request a demo of one of our off-the-shelf telehealth platforms.