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Services

Credentialing

What is Credentialing?

Credentialing is a systematic approach to collection and verification of a practitioner applicant's professional qualifications, such as relevant training, licensure, certification, and/or registration to practice in a healthcare field, and academic background, as well as an assessment of whether the practitioner meets certain criteria relating to professional competence and conduct. All payers’ company process evaluates the qualifications of practitioners who provide care or would like to join the payer group and become a member. This process is completed before a practitioner is accepted for participation in payer organizations network.

Enrollment in health plans
If you are Interested in becoming a participating practitioner as payer or management associations, and organizations, we can help!

We will request on your behalf an application for participation with payers, management organizations and Health Plans for enrolment. We will Prepare your applications and submit for membership in specific organizations. Your requests for participation will be processed by organizations.

Instructions to Obtain Application to Join Health Plan

Requesting an application for participation in any network is easy! Just let us know by choosing the link below, complete the online request for an application, and we will request and complete the application form of your chosen organization. We will be happy to assist you if you have any questions regarding your credentialing or re-credentialing process. You can contact us at (562)-869-2105.

Application completion and process is free with billing service contract, otherwise there is a charge for this service base on one application or annual contract for more application to submit.

 

Collection Services;

CCS specializes in recovering outstanding balances from uncollectible and slow-paying accounts, along with health insurance companies who may prolong compensating physicians due to any reasons. Whatever the reason for past due payments, we render physicians and healthcare practitioners invaluable service.

One key advantage is that providers no longer have to risk losing good patient relations because of poor or aggressive collection practices. When it comes to healthcare, patients like to view the family doctor as a benevolent friend, not a brow-beating bill collector.

In the past, doctors relied on staff to collect payment at the front desk. But it's not an easy task to look a patient in the eye while demanding a few hundred dollars on an account that is 90 days past due. We are a faceless and impartial third party, who is qualified to address delicate matters like delinquent accounts without offending long standing patients.

Today most patients have deductable, co-insurance, cap payment schedules, and front office personnel have to be well equip to know the patient’s responsibilities. With our systems in place you can ask your patient to pay on monthly schedule payments, pay online.

 

For Health Care Professionals

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