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Credentialing can be complex and time-consuming, often leading to delays or complications. Many healthcare facilities lack the resources to manage credentialing efficiently and turn to verification organizations for help. Tranquil offers expert guidance to simplify credentialing, enrollment, and licensing processes. Our system & transparent pricing make us a trusted partner in medical credentialing.
As the go-to credentialing specialists for healthcare organizations, we offer comprehensive services in medical credentialing, enrollment, and licensing. Below is a list of our most commonly requested services:
Although we work as a contract credentialing team, we seamlessly integrate with your administrative staff, helping you navigate the credentialing process and achieve successful application outcomes.
Enrollment and credentialing are vital for physicians and dentists to align their billing practices, ensuring optimal payment receipt and uninterrupted service provision to patients. Tranquil Med Solutions manages the enrollment process, handling necessary documentation submissions to maintain up-to-date records for provider organizations’ physicians.
To uphold active participation with health plans and ensure patient admitting privileges, prioritizing credentialing is essential. Tranquil Med Solution can aid in the entire process, from new enrollments to re-credentialing and expiry management. Our team manages the necessary paperwork, streamlines the process, and conducts follow-up with insurance companies until completion. With Tranquil Med Solution, you can remain fully enrolled and concentrate on delivering quality care to your patients
Our services include enrolling providers in Medicare and Medicaid, two of the largest health insurance programs in the US with millions of beneficiaries. By joining these programs, providers can enhance their patient base, increase revenue, and ensure compliance with federal and state regulations.
We handle the credentialing of providers with commercial insurance payers like Aetna and Humana, which offer diverse plans and networks. By working with these insurers, providers can expand their patient access and negotiate improved reimbursement rates.
We help individual providers (Type 1) and organizations (Type 2) secure and maintain their National Provider Identifier (NPI). This unique 10-digit number, provided by the Centers for Medicare & Medicaid Services (CMS), is required for all billing, reporting, and electronic transactions.
We support providers in setting themselves apart from their competitors. Our credentialing specialists manage and update each provider’s profile on the Council for Affordable Quality Healthcare (CAQH) ProView, an online database for credentialing information. By leveraging CAQH ProView, providers can streamline their credentialing process across multiple health plans.
We handle the revalidation and re-credentialing of each physician’s enrollment and credentialing status with Medicare, Medicaid, and commercial insurers. By entrusting these processes to Tranquil, providers can maintain their program eligibility effortlessly and prevent any disruptions or penalties.
Managing the complex and often slow insurance credentialing process can be a challenge. Our expert credentialing team streamlines enrollment, helping to optimize your revenue management lifecycle.
Our specialists in credentialing and privileging investigate reimbursement problems such as underpayments, denials, delays, or errors from insurance payers. We also provide accounts receivable (AR) follow-up services to facilitate the collection of overdue payments. By tackling these reimbursement issues and handling AR, providers can boost their cash flow, decrease bad debt, and refine their revenue cycle.
Please note that commercial insurance credentialing and contracting typically take an average of 90 – 120 days. Some plans may have longer processing times,
With such an extensive process ahead, avoid delays in your implementation by ensuring credentialing applications are submitted with all necessary information.
Identify the payers that constitute 80% of your business to prioritize credentialing for them, ensuring completion of their processes first.
We assist physicians, hospitals, healthcare labs, DME companies, and individual providers in increasing revenue from insurance by offering credentialing services. Whether it’s starting a new practice, adding a new physician to an existing group, transitioning practices, or enrolling with a new payer, Tranquil Med Solution’s credentialing service simplifies the payer enrollment process.
Complete Payer Support
That instance – Medicare, Medicaid, and TRICARE.
That instance – Blue Cross Blue Shield, Kaiser Permanente, Anthem, United Healthcare, Aetna, Cigna, and Humana