From application completion to ongoing maintenance - trust our expert team to handle your healthcare credentialing needs
The credentialing process is all about speed and accuracy. Plutus Health’s medical credentialing experts are well-known for their in-depth knowledge and experience. We have helped thousands of healthcare providers get credentialed; almost the same number is under process.
Years of Experience
Credentialing Projects Done
Total Credentialing Clients
Running Credentialing Projects
Plutus Health is an in-network provider with all the possible payers and plans. Most of our clients got credentialed in less than three months. Our experts have been providing exceptional physician credentialing solutions and support to individual healthcare providers and groups for 15+ years. We actively participate in the entire credentialing process and stay connected with you before, during, and after you get credentialed.
We preserve the documents of the providers and practices with integrity in our advanced credentialing tool and keep it transparent with our clients to see the status of their applications. We work with the majority of the payers regularly and have a strong relationship with the insurance representatives. We also have strong communication lines with the payers. Our experts involved in credentialing always ensure that there are no gaps in filing and submitting the application on time. We do the below Enrollments as well along with credentialing.
Plutus Health is one of the best medical credentialing companies in the US. Our team knows all the processes and documents involved in credentialing and can get you on the payers list as soon as possible. Below is the type of work managed in credentialing for all providers in all states:
Our team will submit the Provider Onboarding Form using the group information and update the Provider Roster who needs to be affiliated with the group Tax ID and Billing NPI with supporting documents requested by the payer to get enrolled in their network.
Plutus Health submits the initial credentialing process to the payer to get the provider credentialed and contracted with the payer network. We also support submitting a request to link the providers under the respective group.
We create a CAQH provider profile to verify the provider's Demographic, Education, Work History, and malpractice information for initial credentialing and re-credentialing with payers.
Our credentialing experts will keep maintaining the provider data and help with the application process by authorizing access to data and uploading the necessary documents.
We will work on any changes in practitioner demographic information with payers.
Plutus Health will process your credentialing application with most of the payers and clearing house to submit and receive the claims electronically.
We will notify the provider before the license expires & we will work on behalf of the provider to renew the license.
Plutus Health has a robust credentialing checklist. We gather all the information from the practice as per our checklists
Once the checklist is received, we verify practitioner/facility information using our automated eligibility verification software
Medical credentialing experts from the Plutus Health team ensure all the required information and documents get uploaded to the CAQH profile
Identify top payers in the given state and apply in the payer-specific format
Timely follow-up on submitted application requests
Plutus Health will do all credentialing activities in one tool and track submitted applications for all work types. One glance at our credentialing management dashboard helps understand the status of the applications submitted. Our credentialing expertise will help you along every step of the way. Using our tool, we can expedite and efficiently carry out complete applications, subsequent follow-ups, renewals (Re-credentialing), and generate reports based on the need.
Keep your data up-to-date with payers
Process faster payments from insurance and get more patient referrals
Build relationships with different payers
Receive real-time status of credentialing and enrollment transactions
Seamlessly communicated, gather feedback
We thank the Plutus Health team for assisting us with our address credentialing project. They are highly experienced, responsive, attentive, and proactive in resolving our concerns. Plutus Health's physician credentialing solution helped us to reach our growth goals. We evolved significantly with Plutus Health’s assistance
Tommy Lister (Technical Manager)
Achieve seamless affiliation of provider and payer through the use of our expert medical