SCOPE OF SERVICES

Meridian Credentialing  can provide the following credentialing services:

• Initial Credentialing & Payor Enrollment: Complete and submit applications to enroll Client’s practitioners with mutually agreed-upon insurance payors and healthcare facilities.
  • Assist new physicians and advanced practice professionals DEA and MO BNDD applications
  • Act as a delegate for hospital/ambulatory surgery center applications
    • Data enter and prepare application for final signature/submission
    • Attach/submit required documentation: CME, case logs, COI, etc.
    • Notify when practitioners leave the practice (protect Client non-compete clauses)
  • Payor Enrollment
    • CAQH Management
      • update for new practice
      • update every 120 days (3 times per year) as required
    • PECOS for Medicare
      • act as PECOS delegate for the group and individual practitioners
      • add new practitioners
      • revalidations every 5 years
      • maintenance of address, removed resigned practitioners, etc.
    • MO/KS Medicaid
      • ensure the MO and KS medicaid are up to date for the group and individual practitioners
    • Commercial Plans: BCBS, United Healthcare, Humana, etc.
      • enroll the group and individual practitioners
      • maintenance – addresses, practitioners leaving
      • answer questions about practitioner roster 
• Re-credentialing: Manage and submit all necessary documentation for timely re-credentialing of Client’s practitioners with contracted payers and facilities.
• Information Management: Securely maintain and manage all necessary practitioner data, licenses, and certifications required for the credentialing process.
  • Assist Physicians with CME tracking for Certifying Boards and State Licensing Boards
• Status Tracking & Reporting: Monitor the status of all applications and provide the Client with regular updates.
  • The Meridian Credentialing agrees to respond to emails, texts, phone calls within 24 hours 
  • Weekly email with status to client approved distribution list
• Expirables Management: Track and provide notifications for expiring documents such as medical licenses, DEA certificates, and board certifications.
  • Remind all practitioners of upcoming license and life support expiration dates
  • Renew MO & KS State LIcenses for Physicians
  • Renew DEA and BNDD for Physicians and Advanced Practice Professionals
  • Malpractice Renewal  – notify all facilities when medical malpractice policies are renewed
• Restricted Tasks: Meridian Credentialing is unable to provide the following services:
  • Act as delegate for an NP or PA to renew their state license. Those practitioners cannot delegate their licensing to another person.
  • Assist practitioners in completing initial licensing for a state license – it is too complicated as a delegate