Provider Credentialing

HomeProvider Credentialing

Provider credentialing is significantly important as it serves as validation of your interest in and commitment to offer services, as well as your skill and understanding as a healthcare professional. It isn’t just another form to be filled. It is a complex process with many steps and most of all it is ongoing. Above all, without credentials, you will only be allowed to perform services for cash. With a custom-built system, QWay’s provider credentialing workflow is simpler and even more accessible for healthcare providers.

We approach Provider Credentialing as a process that requires complete and constant maintenance and management. We offer Provider Credentialing as a solution and as a service and cater to the end-to-end management of the credentialing process.

Physician Credentialing Services Process

  • Application Evaluation: Required documentation is carried on diligently with all details to be accurately filled in.
  • Primary Source Documentation: Verify practitioner/ facility information from physicians.
  • Outbound Call Center: Obtain missing documents and updating the payer’s database.
  • Follow-up with payers: Follow-up on submitted credentialing requests.
  • Data Entry: Capture data, label, and link images to specific providers and facilities in the payer’s database.
  • Maintenance of Provider Data: Update provider information as per policies and procedures, and CAHQ profile.

Why Choose Qway for Credentialing Services?

The credentialing services & software crew is proficient and adroit in fixing the issues by accumulating the chances of approval to save time and decreasing complications involved with applications and follow up process. We aid in payment enrollment with insurance companies that befits your medical practice. Guarantee towards our assistance for throughout process from credentialing preparations to re-credentialing if necessary is virtuous.

Our credentialing software accommodates with better configuration essential for feasible credentialing services.

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Technology Platforms

We have the expertise on the below systems and can work on any inhouse software that you use