Credentialing is a complex process that requires a lot of documentation and verification to become part of an insurance network. A simple error or missing form can delay enrollment and result in a significant loss of revenue by making that network’s patients inaccessible to you.
OneZero stands out as the premier provider of credentialing services in the US. We simplify the credentialing and enrolment process so that you can focus on your core mission. Our experts handle credentialing tasks efficiently, from primary source verification to premium network enrolment.
Medicare Carrier Request, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (MCR DMEPOS) enrollment is the process required by Medicare to be allowed to provide these specific products and services and bill Medicare for them.
Our credentialing services help you enroll in the Medicare DMEPOS program, so that you can improve the quality of care and receive reimbursement from Medicare.
The credentialing process with commercial insurance payers can be lengthy due to varying eligibility criteria and plan complexities. The process can take several months before you can start seeing their patients, so we make sure there are no additional delays due to missing information.
Our expert team gathers and organizes all required documentation, including licenses, certifications, and training records. We ensure you get credentialed with commercial insurance payers like Humana, Cigna, and Aetna.
Revalidation and re-credentialing are required over time to ensure continuous compliance and active status with payers. Usually, validation is required every five years, and re-credentialing is required every three years.
Our physician credentialing services offer a smooth revalidation and re-credentialing process with Medicare, Medicaid, and commercial insurers. We proactively update your demographics (practice location, contact information, etc.) to prevent any delays or penalties.
All qualified practitioners who write controlled substance prescriptions must hold a federal Drug Enforcement Administration (DEA) certificate.
Our healthcare credentialing services include the application and renewal processes for DEA certificates. We enable healthcare providers to prescribe and handle controlled substances according to their specialty.
We will assemble all the necessary information, such as licenses, certifications, education transcripts, and references, to meet each payer’s specific requirements
Contact OneZero to discuss the details of your organization and health plans for enrollment.
We will verify your credentials with the issuing bodies. Our expert team will double-check everything with the official sources. Once everything is in order, we will assist you in obtaining approval from hospitals and insurance companies.
Our team will complete the appropriate applications and submit them to your preferred payers