RCM services
Credentialing & payer enrollment
Every week a provider waits on enrollment is a week of claims you cannot bill. We run credentialing and payer enrollment end to end and track every expiry so nothing lapses.
What's included
What our team does for you.
The GetMax credentialing tracker holds every application, document and expiry, and can hold charges until a provider is effective.
- CAQH profile setup, attestation and maintenance
- Medicare (PECOS) and Medicaid enrollment
- Commercial payer applications and contracting follow-up
- Re-credentialing and revalidation before deadlines
- License, DEA, board and malpractice expiry tracking
- Group and location additions and changes
How it runs
The process, step by step.
- 01
Collect
We gather provider documents once and keep them current.
- 02
Apply
Applications go to each payer with the documents and forms they require.
- 03
Follow up
Every application is chased on a schedule until the provider is effective.
- 04
Maintain
Expiries and revalidations are tracked and renewed ahead of time.
Frequently asked
Questions we hear a lot.
How long does payer enrollment take?
It depends on the payer and state. Some commercial payers complete in weeks, others take several months. We track each one and push for the earliest effective date.
Can you stop us billing before a provider is enrolled?
Yes. GetMax can hold charges for a provider until their enrollment is effective, then release them, so you do not collect avoidable denials.
Keep reading
Services that work with this one.
Service
Eligibility & benefits verification
Coverage, copay and deductible confirmed before every visit.
Learn more →Service
Medical billing & claims
Charge entry, scrubbing and clean claim submission, every day.
Learn more →Service
RCM reporting & analytics
The numbers that matter, live and in a monthly review.
Learn more →Hand credentialing & payer enrollment to us.
Tell us how you work today. We will show you what changes and what it costs.