Our Services

Overview

At VeriMedex, we are dedicated to providing comprehensive credentialing and billing services tailored to meet the unique needs of healthcare providers. Our expertise and advanced processes ensure that your administrative tasks are handled quickly and efficiently, allowing you to focus on delivering exceptional patient care.

We offer a wide range of services designed to streamline your operations and enhance your practice’s performance.

Credentialing and Enrollment Services

Provider Enrollment

We excel in enrolling providers with commercial payers across various specialties, including medical, behavioral health, mental health, facilities, labs, and DME. Our efficient and thorough approach ensures accurate and timely enrollment, minimizing delays and enhancing your practice’s operational efficiency. By expertly managing the complexities of commercial payer requirements, we guarantee that your providers are credentialed and ready to deliver exceptional patient care without administrative interruptions.

Medicare/Medicaid Enrollment

We specialize in enrolling providers for Medicare and Medicaid, covering a wide range of specialties. Our streamlined process ensures timely and accurate enrollment, minimizing delays and enhancing your practice’s readiness. By expertly handling the intricate requirements of Medicare and Medicaid, we ensure your providers are fully credentialed, enabling you to focus on delivering top-notch patient care without administrative hassles.

In-Network and Out of Network Enrollments

Our team navigates the complexities of both in-network and out-of-network enrollments, ensuring your practice is properly credentialed with all necessary payers. We manage the entire process, from initial application to final approval, ensuring a smooth and hassle-free experience.

Revalidation and Recredentialing

Stay compliant with regulatory requirements through our revalidation and recredentialing services. We proactively manage and submit necessary documentation, ensuring your credentials remain up-to-date and your practice avoids interruptions.

IPA Enrollment

VeriMedex provides specialized services for preparing and submitting IPA (Independent Practice Association) Packets. Our expert team meticulously compiles and organizes all necessary documentation, ensuring that your IPA submissions meet the stringent requirements of payers and regulatory bodies. From initial data collection to final submission, we manage every aspect of the process, reducing administrative burdens and minimizing the risk of delays or rejections. Trust VeriMedex to streamline your IPA Packet preparation, enabling your practice to efficiently align with IPAs and enhance your network participation.

Electronic Transactions and Profile Management

EFT/EDI/ERA Enrollments

Optimize your revenue cycle with our electronic funds transfer (EFT), electronic data interchange (EDI), and electronic remittance advice (ERA) enrollment services. We handle the entire enrollment process, ensuring secure and timely transactions with payers.

CAQH Profile Building and Maintenance

We create and maintain your CAQH profile, ensuring it is always current and accurate. Our team manages updates and reattestation, reducing administrative burdens and ensuring seamless interactions with payers.

NPI Application and Updates

Our experts handle the application and updating of your National Provider Identifier (NPI), ensuring that your information is correctly registered and maintained, which is crucial for all billing and credentialing activities.

Licensing and Portal Management

State License Application

We assist with the application and renewal of state licenses, ensuring your practice complies with all state-specific regulations and requirements. Our thorough approach minimizes delays and ensures timely approval.

Portal Creation and Management

We create and manage portals for platforms such as Optum, Availity, and UHC, providing you with seamless access to payer networks and facilitating efficient communication and claims management.

Hospital Privileges

Our team assists in obtaining and maintaining hospital privileges, ensuring your providers can practice at their affiliated hospitals without any administrative hurdles. We manage the documentation and submission process, ensuring timely approvals.

NPPES Portal Creation and Login Reset

We handle the creation and maintenance of your NPPES portal, including login resets, to ensure uninterrupted access and management of your National Plan and Provider Enumeration System (NPPES) information.

CLIA Registration and Renewal

Our services include the registration and renewal of Clinical Laboratory Improvement Amendments (CLIA) certifications, ensuring your laboratory facilities meet all regulatory standards and continue operating without any compliance issues.

Medical Billing

Comprehensive Billing Management

We manage the entire billing process from claim submission to payment posting, ensuring accuracy and efficiency at every step. Our team meticulously reviews each claim to minimize errors and expedite payment.

Denial Management and Appeals

Our proactive approach to denial management includes thorough analysis and timely appeals of denied claims. We work diligently to identify and address the root causes of denials, increasing your practice’s revenue by recovering lost payments.

Revenue Cycle Optimization

We employ advanced strategies to optimize your revenue cycle, from verifying patient eligibility to managing accounts receivable. Our goal is to enhance your cash flow and ensure that your practice remains financially healthy.

Regular Reporting and Analytics

We provide detailed reports and analytics to give you clear insights into your practice’s financial performance. Our transparent reporting helps you make informed decisions and identify areas for improvement.

Compliance and Security

We adhere to the highest standards of compliance and security, ensuring that your billing operations meet all regulatory requirements. Our commitment to protecting your sensitive information gives you peace of mind.

Contact Us

If you're interested in learning more about our comprehensive credentialing and billing services, we're here to help. Our team of experts is ready to answer any questions and provide the information you need to make informed decisions for your practice.

Ready to Enhance Your Practice?

Discover how VeriMedex can streamline your administrative processes and optimize your revenue. Submit a contact form by clicking the button below, and one of our representatives will get back to you promptly. Let us assist you in achieving your practice's full potential.