In order for a medical provider to be enrolled with a payer (i.e Medicaid , Medicare , commercial etc.) they must meet specific criteria to be credentialed.At this point, an enrollment specialist can be very helpful to the process.

It’s important that all applications information need to be complete correctly. If any rejection from payer end , we will be notified and we will submit the correct information for you. Specialist will also work with payer in case of missing ERA or claims rejection. The application and approval process can take some time to complete – for example, Medicare and Medicaid typically take up to 30 days and commercial carriers like Aetna and Blue Cross typically take up to 60 days to complete. Turn around time varies from payer to payer.

Our payer enrollment specialists will follow up on all applications until an effective date is assigned to the health care provider. It signals that provider has been approved for sending eclaims and receiving ERA. Supports enrollment of different EDI transactions like E claims(837P and 837I), ERA(835) etc.

The ERA/EFT process eliminates the physical requirements for printing checks and utilizing the postal service, ERA/EFT reduce administrative steps and costs, including

• Costs of creating and mailing the paper check by the payer
• Manual Deposits by the provider
• Manual handling of the mail and paper checks
• Manual cash posting to patient receivable system
• Electronic files allow more timely re-association of the payment and ERA