Payer Enrollment
The First Step In the Revenue Cycle
Valuable RCM Beginswith Rock Solid Payer Enrollment!
Kickstart your RCM with powerful payer enrollment.
Our dedicated enrollment team helps you gather information needed to begin the onboarding process.
Together, we strategize and establish a list of insurances. We prepare and submit a contract application on your behalf.
We work proactively with the insurance to quicken enrollment and, if necessary, work through the appeals process.
Your enrollment specialist sends step-by-step updates via your preferred contact method.
Valuable RCM Beginswith Rock Solid Payer Enrollment!
Kickstart your RCM with powerful payer enrollment.
Our dedicated enrollment team helps you gather information needed to begin the onboarding process.
Together, we strategize and establish a list of insurances. We prepare and submit a contract application on your behalf.
We work proactively with the insurance to quicken enrollment and, if necessary, work through the appeals process.
Your enrollment specialist sends step-by-step updates via your preferred contact method.
We have all the tools you needto manage payer relationships.
Provider Enrollment Services, expirables management, claim denials,provider updates, and special reports — all under one roof!
Fast and easy enrollment for Medicare, Medicaid, MCO’s, commercial, BCBS, workers comp, and more.
Stay compliant with proactive re-enrollment through online notifications so that your cashflow doesn’t miss a beat.
Sit back, relax, and let us track and re-attest all of your expirable documents such as NPI, CAQH, validations, and insurance-specific requests.
Integrate seamlessly with our claim management team to discover root causes and find solutions for enrollment denials.
We take charge of all your updates such as pay-to-address, w-9, removal of provider, bank updates, and more.
We have the resources and experience to quickly react and expertly-manage any special projects that may occur.
We have all the toolsyou need to managepayer relationships.
Provider Enrollment Services, expirables management, claim denials, provider updates, and special reports — all under one roof!
Fast and easy enrollment for Medicare, Medicaid, MCO’s, commercial, BCBS, workers comp, and more.
Stay compliant with proactive re-enrollment through online notifications so that your cashflow doesn’t miss a beat.
Sit back, relax, and let us track and re-attest all of your expirable documents such as NPI, CAQH, validations, and insurance-specific requests.
Integrate seamlessly with our claim management team to discover root causes and find solutions for enrollment denials.
We take charge of all your updates such as pay-to-address, w-9, removal of provider, bank updates, and more.
We have the resources and experience to quickly react and expertly-manage any special projects that may occur.
Proof Is In the Numbers
50
24 Hours
19
10,000+
Proofis in the Numbers
Credentialing vs. Enrollment
Credentialing vs. Enrollment
Why Choose Us?
Applying years of experience, your dedicated Enrollment Specialist understands your specialty, providing relevant, professional and thorough assistance.
Combining enrollment and revenue data in a customized dashboard allows for a more informed decision-making process.
Proactively manage contracts, unlock hidden income potential, protect revenue streams, and stop delays in your cash-flow.
Send applications to insurance panels for faster credentialing with our streamlined service.
There are no up-front costs or maintenance fees. We only get paid when you do.
All your data is safe and secure in our HIPAA compliant software.
Why Choose Us?
Applying years of experience, your dedicated Enrollment Specialist understands your specialty, providing relevant, professional and thorough assistance.
Combining enrollment and revenue data in a customized dashboard allows for a more informed decision-making process.
Proactively manage contracts, unlock hidden income potential, protect revenue streams, and stop delays in your cash-flow.
Send applications to insurance panels for faster credentialing with our streamlined service.
There are no up-front costs or maintenance fees. We only get paid when you do.
All your data is safe and secure in our HIPAA compliant software.
Bring your payerenrollment data to life!
Bring your payerenrollment data to life!
Avoid enrollment errors& improve payer relationships.
Avoid enrollment errors& improve payer relationships.
Meet a PhoenixPayer Enrollment Specialist
“I enjoy navigating the constantly evolving payer enrollment processes to keep our clients up-to-date and not miss opportunities to improve performance”
John Racki
Director of Payer Enrollment
Team member since 2017
Meet a PhoenixPayer Enrollment Specialist
“I enjoy navigating the constantly evolving payer enrollment processes to keep our clients up-to-date and not miss opportunities to improve performance”
John Racki
Director of Payer Enrollment
Team member since 2017
FAQ’s
How long does it take to enroll with a payer?
Our number one question. This depends on 2 things. 1, how quickly we can get the required information from you and 2, which payers and specialty you wish to enroll. Our current enrollment turn-around time is averaging 60 days. However, before we start we inform our clients it could take up to 90 to 120 days. Payer approval time can be delayed further if you wish to aggressively negotiate rates or appeal a denial do to panels being closed.
Who takes care of managing expired documents and updates?
Good news, we do! That means no more annoying calendar alerts for document expiration dates. Instead, we notify you of all documents expiring in the next 30, 60, and 90 days.
Examples of documents to replace or update are:
- Document Expiration notification
- Demographic changes
- Pay-to-address, W-9 or bank updates
- Removal of group/provider
Best of all, this service is based on our collaborative partnership model. We don’t get paid unless you do!
Who manages the quarterly group and provider maintenance?
Payers are requiring groups and providers to validate and re-attest demographic information more often. We will make sure your information is always up to date with each payer and attested so there is no gap in coverage. Below is a list of some of the maintenance completed quarterly and annually.
- CAQH attestation
- Availity validation
- Medicare re-validation
- Other payer quarterly validations
What services can you offer my organization?
- Starting a new practice and learning which payers to accept
- Transitioning from one practice to another
- Changing or expanding locations
- Adding new practice specialties
- Changing your tax ID number or billing address
- Identifying underpayments and overpayments
- Creating “what if” re-negotiation strategies and outcomes
- Providing relief when managed care credentialing paperwork inundates group practices
- Determining if denials are true denials and not bundled charges or inaccurate contract loading
- Keeping compliant with payers and reducing the chance of audits
- EDI, EDR and EFT enrollment set up
What provider specialties do you focus on?
PHYSICIANS
- Primary Care
- Specialists
- PA’s / NP’s
NON-PHYSICIANS
- Audiologists
- Behavioral Health
- Occupational Therapy
- Physical Therapy
- Speech Pathology
URGENT CARE FACILITIES
LABORATORIES
- Toxicology
- PGx
- Women’s Health
- Allergy
What Types of Enrollment do you offer?
- AHCA (Agency for Healthcare Administration)
- Ambulatory surgical center
- Behavioral health services
- CAQH enrollment
- CLIA application and processing
- Commercial payers
- DME enrollment
- Hospital privilege enrollment
- Managed care
- Medicare enrollment and re-validation
- Medicaid
- NPI registry
- Workers compensation payers
In-Network and Out of Network Enrollment.
With the knowledge and experience, PHCS has the connections with payers to get you enrolled. Even when payer panels may be closed we resort to the out of network enrollment to get the most for your services provided.
Where is my information stored with Phoenix Healthcare Services?
We keep your data safe and secure in our HIPAA compliant software, managed at our SSAE-16 certified data center.
How do I view my information?
- Personalized dashboard to view your enrollments
- Your information is displayed in your standard enrollment dashboard to see your most current enrollment status. Custom enrollment dashboards are available upon request
What states do you provide contracting, credentialing, and enrollment services?
All 50 states.
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming
FAQ’s
How long does it take to enroll with a payer?
Our number one question. This depends on 2 things. 1, how quickly we can get the required information from you and 2, which payers and specialty you wish to enroll. Our current enrollment turn-around time is averaging 60 days. However, before we start we inform our clients it could take up to 90 to 120 days. Payer approval time can be delayed further if you wish to aggressively negotiate rates or appeal a denial do to panels being closed.
Who takes care of managing expired documents and updates?
Good news, we do! That means no more annoying calendar alerts for document expiration dates. Instead, we notify you of all documents expiring in the next 30, 60, and 90 days.
Examples of documents to replace or update are:
- Document Expiration notification
- Demographic changes
- Pay-to-address, W-9 or bank updates
- Removal of group/provider
Best of all, this service is based on our collaborative partnership model. We don’t get paid unless you do!
Who manages the quarterly group and provider maintenance?
Payers are requiring groups and providers to validate and re-attest demographic information more often. We will make sure your information is always up to date with each payer and attested so there is no gap in coverage. Below is a list of some of the maintenance completed quarterly and annually.
- CAQH attestation
- Availity validation
- Medicare re-validation
- Other payer quarterly validations
What services can you offer my organization?
- Starting a new practice and learning which payers to accept
- Transitioning from one practice to another
- Changing or expanding locations
- Adding new practice specialties
- Changing your tax ID number or billing address
- Identifying underpayments and overpayments
- Creating “what if” re-negotiation strategies and outcomes
- Providing relief when managed care credentialing paperwork inundates group practices
- Determining if denials are true denials and not bundled charges or inaccurate contract loading
- Keeping compliant with payers and reducing the chance of audits
- EDI, EDR and EFT enrollment set up
What provider specialties do you focus on?
PHYSICIANS
- Primary Care
- Specialists
- PA’s / NP’s
NON-PHYSICIANS
- Audiologists
- Behavioral Health
- Occupational Therapy
- Physical Therapy
- Speech Pathology
URGENT CARE FACILITIES
LABORATORIES
- Toxicology
- PGx
- Women’s Health
- Allergy
What Types of Enrollment do you offer?
- AHCA (Agency for Healthcare Administration)
- Ambulatory surgical center
- Behavioral health services
- CAQH enrollment
- CLIA application and processing
- Commercial payers
- DME enrollment
- Hospital privilege enrollment
- Managed care
- Medicare enrollment and re-validation
- Medicaid
- NPI registry
- Workers compensation payers
In-Network and Out of Network Enrollment.
With the knowledge and experience, PHCS has the connections with payers to get you enrolled. Even when payer panels may be closed we resort to the out of network enrollment to get the most for your services provided.
Where is my information stored with Phoenix Healthcare Services?
We keep your data safe and secure in our HIPAA compliant software, managed at our SSAE-16 certified data center.
How do I view my information?
- Personalized dashboard to view your enrollments
- Your information is displayed in your standard enrollment dashboard to see your most current enrollment status. Custom enrollment dashboards are available upon request
What states do you provide contracting, credentialing, and enrollment services?
All 50 states.
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming
A Simple Transition
The thought of transitioning to a new RCM model makes some practices very nervous. We sympathize with your concerns, and that’s why we have a team of Systems Implementation Specialists in place to help navigate you through the process. When you join us, you’re taken care of every step of the way.
A Simple Transition
The thought of transitioning to a new RCM model makes some practices very nervous. We sympathize with your concerns, and that’s why we have a team of Systems Implementation Specialists in place to help navigate you through the process. When you join us, you’re taken care of every step of the way.
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