Get started quicker. Visit patients quicker. Feel less stress about paperwork.
We are specialists in healthcare provider enrollment and credentialing services.
Opulex HealthCare aims to save you a ton of time and give you uninterrupted practice time by taking care of all your enrollment and credentialing requirements. We give credentialing and enrollment services to Medical providers, Behavioral Providers, Dental Providers, DME Companies, Facility, Providers State Licensure, Multi State Compact Licensure, FQHC, Home Health, Hospice Center, Lab and many more. Here is a detailed description of all the different services that are a part of our offering for enrollment and credentialing. These services are adaptable to your needs.
Advanced Services
Hospital credentialing, Primary Source Verification, Medicare Group and Individual Enrollments, Medicare Revalidation, Medicaid Group and Individual Enrollment, CAQH Attestation, Facility Enrollments, State Licensure, Mobile Labs & Radiology enrollment are other services we provide in addition to those listed above.
Opulex HealthCare are seasoned specialists with more than decades of experience ensuring enrollment in every state because processes like Medicaid group enrollment vary from state to state. Every three to five years, Timely network Revalidation is necessary to ensure no Network Issues for our Providers. We track and manage this process through our yearly maintenance program.
Brand-new Credentials
- Credentialing from scratch while completing the initial application and submitting it quickly
- Registration and monitoring for CAQH (for both new and existing profiles)
- Contracting for in-network inclusion (negotiations, if necessary)
- Follow-up correspondence and documentation with insurance providers
- management of fresh credentials from beginning to conclusion
- Process of credentialing & Contracting
- Filling out and submitting the applications required for the setup of EFT and ERA
- We are seasoned in supporting new Group and Provider initial Credentialing Support
- Dedicated Client Success Manager for all communication
Re-credentialing
- Filling out and submitting the applications required for the setup of EFT and ERA
- Completion and submission of the required paperwork
- Complete process management for re-credentialing
- If necessary, contract negotiations take place during re-credentialing.
Yearly Maintenance
- Tracking of document expiration dates for medical licenses, DEA/CDS licenses, board certifications, CEUs, and any other documents with expiration dates CEUs and other items with expiration dates
- CAQH and NPI updates
- Updating the provider's credentials for revalidation and reinstatement