Hospital Credentialing and Insurance Enrollment Services
Hospitals require a primary source verified file to meet licensing and/or accreditation standards. MPR can also perform the insurance enrollment of the employed providers. Our dual agreement clients take advantage of both our provider credentialing and enrollment services to save time on staying current for licenses and ever-changing insurance requirements. We supply efficiency. We take the information on each physician once, collect it into a central database, and repurpose the information to meet the hospital credentialing and insurance credentialing needs.
Who We Help
Example Client: Medical Staff Coordinator of a Regional Medical Center
Client Challenges: Balancing responsibilities of credentialing while working closely with the business office on insurance claims for services. Employed physicians are enrolled in the insurance companies under the hospital tax ID number (TIN). This often results in insurance companies wanting the same physician information in your file located in the medical staff office.
Responsibilities include giving the provider’s information to the business office to provide to the insurance companies, while protecting the identity of the physician. More challenges arise if your billing service stops doing the insurance enrollments. The demands for billing are growing and you can’t do both!
Real Client Quotes
- “Everyone wants the same information.”
- “The insurance claims are being denied, but I know the physician is enrolled with the plan.”
- “Both the business office and the medical staff office only have so many hours in the day. It’s hard to keep up.”
How We Help
We supply efficiency! We collect the information on each provider/physician once and repurpose the information for either the primary source verified file or the insurance company for the enrollment of the physician. You won’t have to repeat the same information or waste time if you use MPR’s hospital credentialing and insurance enrollment services!