Credentialing


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The physician credentialing process is not an easy process. It is complex & time consuming. With the ever changing requirements in the credentialing & re-credentialing process if the process is not overseen diligently, it can take a lot of time to get completed & obviously delays reimbursements.

At PRG Inc., we know very well that practices are faced with numerous challenges in the form of low revenues & ever increasing costs. Our physician credentialing process is designed to remove credentialing headaches from this list of challenges while reducing costs and freeing up valuable administrative time. PRG Inc. uses time tested approach to streamline issues relating to credentialing and enrollment process.

PRG Inc. provides physician credentialing & enrollment services to physicians & medical practices both large and small. For our Practice Management Clients, we provide credentialing and enrollment services at our cost. We offer the following services to medical practitioners:

  • New practice setup in all 50 states
  • Adding additional providers to a current practice
  • Re-attestation of CAQH
  • Medicare enrollment and revalidation
  • EDI Setup
  • ERA Setup
  • EFT Setup
  • Address changes/updates
  • Credentialing covering all 50 states and major insurance companies
  • Help prepare & submit enrollment applications
  • In Network & Out of Network decision making
  • Fee schedule review & compliance

In addition to submissions, we also keep physicians & practices in the loop at all times. We provide:

  • Regular updates
  • Personalize account representative
  • Regular follow up with insurance carriers
  • Guidance & Education
  • Unmatched customer service