• Payer Enrollment Made Easy

    Let us do the heavy lifting.

Valuable RCM Begins
with Rock Solid Payer Enrollment!

1. Set-Up is a Breeze

Our dedicated enrollment team helps you gather information needed start the on-boarding process.

2. Pick Payers

Together, we strategize and establish a list of insurances. We prepare and submit a contract application on your behalf.

3. Get Enrolled

We work proactively with the insurance to quicken enrollment and, if necessary, work through the appeals process.

4. Personable Communication

Your enrollment specialist sends step-by-step updates via your preferred contact method.

We have all the tools you need
to manage payer relationships.

Provider Enrollment Services, expirables management, claim denials, provider updates, and special reports — all under one roof!

Initial Enrollment Services

Fast and easy enrollment for Medicare, Medicaid, MCO’s, commercial, BCBS, workers comp, and more.

Re-Credentialing Services

Stay compliant with proactive re-enrollment through online notifications so that your cashflow doesn’t miss a beat.

Expirables Management

Sit back, relax, and let us track and re-attest all of your expirable documents such as NPI, CAQH, validations, and insurance-specific requests.

Enrollment Claim Denials

Integrate seamlessly with our claim management team to discover root causes and find solutions for enrollment denials.

Group and Provider Updates

We take charge of all your updates such as pay-to-address, w-9, removal of provider, bank updates, and more.

Special Projects

We have the resources and experience to quickly react and expertly-manage any special projects that may occur.

Proof Is In the Numbers

States Enrolled

50

Average Enrollment Time

60 Days

Specialties Served

19

Approved Enrollments

7500+

Credentialing vs. Enrollment

What’s the difference?

Testimonials

testimonial-stars

“The payer enrollment team at Phoenix gave our practice the much needed reliability, knowledge and experience to manage our existing contracts and quickly enroll our new providers. The communication is clear, up-to-date and our dashboard keeps us informed with key information such as expiring credentials and action items. I highly recommend Phoenix HCS Payer Enrollment services.”

Primary Care, Birmingham, ALValued client since 2015

Why Choose Us?

Avoid Errors

Applying years of experience, your dedicated Enrollment Specialist understands your specialty, providing relevant, professional and thorough assistance.

Practical Information

Combining enrollment and revenue data in a customized dashboard allows for a more informed decision-making process.

Financial Maximization

Proactively manage contracts, unlock hidden income potential, protect revenue streams, and stop delays in your cash-flow.

Save Time

Send applications to insurance panels for faster credentialing with our streamlined service.

Save Money

There are no up-front costs or maintenance fees. We only get paid when you do.

Security

All your data is safe and secure in our HIPAA compliant software.

Bring your payer enrollment data to life!

Unlock hidden income potential.

Meet a Phoenix
Payer Enrollment Specialist

Racki-New-2

“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
Enrollment Specialist
Team member since 2017

Avoid enrollment errors and start paving the way
to smoother payer relationships.

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

Transition is easier than you think!

Some practice’s are nervous to convert from in-house operations or outsourced revenue cycle management companies. Our dedicated team of Systems Implementation Specialists navigates you through the transition, systematically reviewing current data and developing a comprehensive plan. When you join us, you’re added to the list of our valued clients with 100% satisfaction.