PROVIDER & FACILITY SERVICES OFFERED

Starting a new practice or adding a physician to your group is more challenging than ever in health care today.  Because of this, it is important that you get the necessary help early to start things off on the right foot.  Whether you are a multi-specialty group, single specialty group, or a solo practitioner, credentialing and start up assistance should only be performed by experts.

With our team’s experience and dedication your practice is sure to see a positive return on investment from our credentialing team!  Below are just a few of the services we offer. Contact our office today to get a free personalized quote.

• Facility Privileges – credentialing packages for all providers including physician extenders.
• Commercial insurance credentialing
• Insurance Renegotiation Services, Insurance Contract Negotiation, & Renegotiation Services for established or new practices.
• Physician licensing
• Medicare credentialing
• Medicaid enrollment services
• Practice startup services
• Review of current contacts to compare to current reimbursement levels
• CAQH credentialing
• HIPAA: rules, standards and implementation guide
• Malpractice and general liability insurance services
• EHR/EPM consulting services
• Meaningful Use requirement management

Health IT Pedia can solve your practice’s needs – no matter what stage you're at! Please read our Credentialing articles for help. If you need anything more to know. We are here to help you out.

Insurances & Contractors for Credentialing:

• AARP
• Aetna Health Plans
• Affinity Health Plan
• ALLIED BENEFITS SYSTEMS INC.
  
• AMERICAN HERITAGE LIFE INSURANCE
  
• AMERICAN HERITAGE LIFE INSURANCE
  
• AMERIGROUP CORPORATION
  
• ASSIST CARD
• AVMA GROUP HEALTH AND LIFE INSURANCE TRUST
  
• BEECH STREET CORPORATION
  
• BENEFIT MANAGEMENT ADMINISTRATORS, INC.
  
• BLUE CROSS AND BLUE SHIELD
  
• BOON CHAPMAN ADMINSTRATORS INC
  
• BUSINESS ADMINISTRATORS AND CONSULTANTS, INC.
  
• CARE 1ST HEALTH PLAN OF ARIZONA
  
• CELTIC
  
• CHAMPVA - HAC
  
• CIGNA HEALTH PLAN
  
• COMMUNITY HEALTH CHOICE
  
• CORESOURCE OF PA MD IL
  
• DIRECT CARE ADMINISTRATORS
  
• ELDER HEALTH HMO OF MD AND PA - BRAVO HEALTH
  
• ENTRUST
  
• ESSENCE
  
• FIRST CARE
  
• FMH BENEFIT SERVICES INC.
  
• FORTIS INSURANCE COMPANY PHCS
  
• GALLAGHER BENEFITS ADMINISTRATOR - AAG
  
• GEHA
  
• GHI NEW YORK GROUP HEALTH
  
• GMMI INC
  
• GOLDEN RULE
  
• GOVERNMENT EMPLOYEE HOSPITAL ASSOC GEHA
  
• GREAT WEST LIFE ASSURANCE COMPANY
  
• GROUP AND PENSION ADMINISTRATORS
  
• GROUP HEALTH PLAN GHP
  
• GROUP RESOURCES
  
• GUARDIAN LIFE INS CO
  
• GULF QUEST RENAISSANCE
  
• HEALTH ALLIANCE PLAN

• HEALTH FIRST TYLER
  
• HEALTH OPTION 1
  
• HEALTH PARTNERS
  
• HEALTH SMART ACCEL
  
• HEALTH SYSTEMS INTERNATIONAL, LLC
  
• HEALTHSPRING
  
• PO BOX 2888
  
• HERITAGE PHYSICIANS NETWORKSELECTCARE OF TEXAS
  
• HMAA - HAWAII MANAGEMENT ALLIANCE ASSOCIATION
  
• HUMANA
  
• IMG
  
• IMS
  
• JOHNS HOPKINS MEDICAL SERVICE
  
• KAISER PERMANENTE SOUTHERN CALIFORNIA
  
• KELSEY SEYBOLD
  
• MAIL HANDLERS BENEFIT PLAN
  
• MEDICAL MUTUAL OF OHIO
  
• MEDICARE 
  
• MEDICO INSURANCE COMPANY
  
• MEGA LIFE AND HEALTH INSURANCE COMPANY
  
• MEGA LIFE AND HEALTH STARBRIDGE STARHRG
  
• MEMORIAL HERMANN
  
• MERITAIN HEALTH
  
• MIDWEST PREFERRED
  
• MOLINA HEALTHCARE
  
• MUTUAL ASSURANCE ADMINISTRATORS
  
• NATIONWIDE HEALTH PLANS
  
• OXFORD HEALTH PLANS
  
• PACIFIC BLUE CROSS
  
• PAN AMERICAN LIFE
  
• PRESBYTERIAN - NEW MEXICO
  
• PRIMARY CARE CASE MANAGEMENT
  
• PRIMARY PHYSICIANCARE INC.
  
• PRINCIPAL LIFE INSURANCE COMPANY
  
• RESERVE NATIONAL INSURANCE
• SANFORD HEALTH PLAN
  
• SCOTT AND WHITE HEALTH PLAN
  
• SETON FAMILY OF HOSPITALS
  
• STUDENT RESOURCE
  
• SUPERIOR HEALTH PLAN 
  
• TEXANPLUS

• TEXAS CHILDRENS HEALTH PLAN -CHIP PLAN CHIP
• TOTAL PLAN SERVICES, INC.
  
• TOWER LIFE INSURANCE COMPANY
  
• TRICARE NORTH AND SOUTH
  
• TRUE CHOICE USA
  
• TRVAEL INSURANCE CO-ORDINATOR
  
• UMR - UNITED MEDICAL RESOURCES
  
• UNITED AMERICAN INSURANCE COMPANY
  
• UNITED HEALTHCARE
  
• UNIVERSAL ASSISTANCE, INC
  
• US HEALTH PLAN
  
• VENTURA COUNTY HEALTHCARE PLAN
  
• WAUSAU INSURANCE COMPANY
  
• WEB TPA
  
• WELLCARE OF CONNECTICUT INC
  
• XL HEALTH CARE IMPROVEMENTS PLUS