Get on Insurance Panels, Provider Enrollment and Physician Credentialing
We offer provider enrollment and credentialing services, including enrollment in commercial and government health plans, management of credentials, and re-credentialing as needed. We also help growing practices that need adding new physicians to their group and ensure that the provider’s application has been filed to the Payer for inclusion. We are committed to providing the highest level of service and quality, have been in business for years, and have helped several practices with their enrollment and credentialing needs.
OUR SERVICES
Enrollment with Payer
We understand that enrolling as a provider with an insurance company can be a daunting task, but it is a crucial step toward expanding your practice and providing quality care to more patients. To help you navigate the process smoothly, we have compiled some key points that could simplify the process when enrolling as a provider with an insurance company.
Demographic Update
We help with all basic and complex demographic changes, such as updating a new TAX ID with all payers in your payer mix, updating a new address, bank account, etc.
CAQA Profile Maintenace
It is essential that your CAQH profile is up-to-date and complete. At ZMW Technologies, we specialize in assisting healthcare providers with CAQH profile maintenance. Our team of experts is well-versed in the latest industry standards and can help ensure that your profile remains up-to-date and compliant with all relevant regulations.
EDI and EFT Enrollments
A process that most payers require in order to submit electronic claims or complete EDI transactions with them. We have established processes for your practice enrollment within the payer’s website which will reduce your administrative tasks and will bring on-time payments.
Insurance Web Logins
Our medical billing experts understand the importance of insurance web portal logins. At ZMW Technologies, we will create and maintain all available insurance web portals that allow the billing team and healthcare provider to manage and verify patient insurance information, including patient eligibility and patient plan coverage information, before submission of claims.
Re-credentialing
As your trusted healthcare provider, we would like to assist you with re-credentialing with your insurance providers. We understand that the process can be time-consuming and complicated, which is why we want to offer our expertise to ensure that the re-credentialing process runs smoothly for you.