Easier Payer Enrollment and Credentialing Services
for Practices Across South Florida and the United States

Payer enrollment and credentialing is one of the most important building blocks in the foundation of a successful revenue cycle. This is because being in-network with insurance companies can be critical to achieving and maintaining optimum reimbursement. As healthcare costs continue to increase every year, fewer patients are choosing to see providers who are out-of-network. Doing so would result in higher co-pays and out-of-pocket costs. Instead, patients most often choose providers who are in-network and covered by their insurance. 
 

That said, provider enrollment is a time-consuming process. Private and public payers each have their own distinct processes. There can be a long list of rules and requirements to participate, which can result in a lengthy and tedious enrollment process.

Let Prosperis Consulting help with payer enrollment, demographic updates and verifications, new appointments, and more. We can make sure paperwork is completed and submitted quickly so you can focus on other aspects of your practice. Our services include:

• Payor Enrollment – Complete and submit paperwork for new payers. 
• 
  
• Demographic Updates/Verifications – Send payor updates to us and we can return them for processing. 
• 
• Hospital Applications New Appointments & Re-Appointments – Send new appointments and re-appointments to us. After they’re signed, we will make sure the attachments are submitted, received, and processed. 
• 
  
• Council for Affordable Quality Healthcare (CAQH) Credentialing – Hold re-attestation every 120 days; update your license, DEA, malpractice, and other expirations; and grant access and authorizations as needed. 
• 
  
• Expiration Date Maintenance – Keep track of important expiration dates and notify you 60 to 90 days ahead of time. Additionally, we will update your documents and send them to payers, hospitals, etc., and keep privilege letters in the system for tracking.