Provider Enrollment

Enrolling physicians and other practitioners with Medicare, Medicaid, and various contracted commercial payers can be time-consuming, complicated and costly to your facility. With the average hospital or provider contracting with fifteen or more health plans, most of which will have their own set of documents, processes and requirements, it's not easy to get practitioners enrolled accurately and timely.

We can help! Our provider enrollment service gathers information and required documents from your practitioners to submit accurate and complete applications to meet each health plan's unique requirements. Here’s a short video describing how we can help! Our service is endorsed by the New Mexico Medical Society, and the Louisiana, Arkansas, Mississippi, Georgia, Kansas, Missouri and Wyoming Hospital Associations.

Here are some of the services we provide:

  • Establish and manage CAQH accounts for your practitioners
  • Submit practitioner enrollment applications and track approvals and effective dates, with timely and repeated follow up
  • Manage the re-enrollment process to prevent interruption in billing
  • Keep you informed of any issues or concerns that may adversely impact the approval of a practitioner.  

How long does it take to get your practitioners enrolled with Medicare, Medicaid, and your contracted health plans? Are these delays affecting your patients' access to the care they need? We make a difference by navigating through the ever-changing payer processes and work flows, and building the relationships necessary to get your practitioners successfully enrolled.

See also

Credentials Verifications


Related Links

These links are provided as a convenience and for informational purposes only; they do not constitute an endorsement or an approval by HSC of any of the products, services or opinions of the corporation or organization or individual. HSC bears no responsibility for the accuracy, legality or content of the external site or for that of subsequent links. Contact the external site for answers to questions regarding its content.

o Greater Albuquerque Medical Association

o LA Credentials, LLC

o National Association for Medical Staff Services

o New Mexico Medical Board

o New Mexico Medical Society