How can we help your practice?

Our health insurance industry is incredibly complex. It’s no surprise acquiring and maintaining contracts and credentialing is complex, too. Concurrently, behavioral health is a niche industry within healthcare.

With years of experience working with both, we built a bridge between the complexity of health insurers and the uniqueness of behavioral health clinics. We started Phoenix Credentialing to share our experience and help our customers rise above.

OUR SERVICES

A focused approach that offers help where it’s needed.

Credentialing

Whether you manage a supervision program at a group practice, or you deserve a “Congratulations on getting licensed!” We help newly licensed providers get paneled and added to insurance contracts quickly and efficiently.

    • Provider Data Collection

    • NPPES Review

    • Credentialing Management Site (CAQH, MCC, etc.) review and update

    • License verification

    • Adding Provider to Contracts

    • Credentialing Application

    • Payer Follow-Up until Payer Decision

    • Monitoring Recredentialing Requests

Contracting

Expanding your clinic or taking the plunge and starting a new private practice? We can help. With years of experience in behavioral health, let the people at Phoenix handle the application process. Any contract we work on will be done right. We guarantee it.

    • Create Provider Roster

    • Assist Provider in Requesting Contracts

    • Deep dive into each payer contract

    • Review Practice Name

    • Review Locations

    • Review Licensed Providers on Contract

    • Review Clinic Demographics (Hours, Accessibility, etc.)

    • Generate Report of Findings and Recommended Next Steps

Credentialing Maintenance

It’s amazing how taking an organized approach to recredentialing makes it seem so easy to do, but can be so difficult to get done. When it’s time to recredential, missing a request can have catastrophic effects that can take months to sort out. That’s why we work with providers to be planful and organized while maintaining your and/or your staff’s credentials.

    • Create and Maintain Provider Roster

    • Annual Roster Review

    • New Provider Credentialing

    • Credentialing Maintenance via Payer Portal, CAQH, etc.

    • Recredentialing

    • NPPES Individual NPI Maintenance

    • Discounts for Bundled Services

Contract Reviews

Maybe you started doing your own contracting. Maybe you hired someone. But did you keep things up? Is each contract up to date with your current provider roster and service locations? Are there billing and RCM issues that just don’t seem to go away?

    • Provider Data Collection

    • Address Verification

    • NPPES Review (Group and Individual(s)

    • Adding Credentialed Providers to Contracts

    • Follow-Up Until Final Decision Reached and Signed Contract on File

    • One Appeal

Contract Maintenance

It took valuable time and hard earned money getting your practice contracted with insurers. Don’t let that go to waste. Outdated and mismatched insurance contracts will have a detrimental impact on any practice, contributing to heightened staff stress levels, wasted time calling payers, and ultimately your bottom line.

    • Create and Maintain Provider Roster

    • Annual Roster Review

    • Reduced pricing on contract updates including Add/Remove/Update

      • Providers

      • Locations

      • Demographics

    • NPPES Group NPI Maintenance

    • Discounts for Bundled Services

CONNECT WITH US

There is comfort in knowing. Work with a partner who knows your practice and knows this industry.