Credentialing and Contracting

Practice Management Group, LLC  knows that today’s providers must participate in numerous provider networks and with a multitude of insurance carriers.  As a result of our proactive approach we ensure that your initial applications for participation and contracting are completed correctly and that your renewal forms are updated properly and submitted on time.  Our credentialing and contracting managers personally oversee every aspect of these services to make sure your specific needs are met. Our staff of professionals will stay in touch with you to ensure that our database reflects any changes in your credentialing and contracting status.  Our Credentialing and Contracting Department will obtain all the information needed for the credentialing process which includes CAQH, PECOS or simply reformatting your data to fit the various forms used by carriers, hospitals, and other healthcare organizations.  We submit the applications and renewals in a timely manner and our reliable professionals maintain your records so they are always up to date.  In addition, we provide you with reports that summarize your application activity and highlight your upcoming renewals.

Credentialing and Contracting Services Include:

• Retrieval of all information needed for the credentialing and contracting process
• Records maintenance in our secure database
• CAQH, PECOS, data reformatting to accomodate various forms used by carriers,
  hospitals, and other healthcare organizations
• Submitting the applications and renewals in a timely manner
• Inform about upcoming renewals
• Assistance with re-negotiating current contracts