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Time is Money when it comes to Insurance Enrollment & Credentialing so partner with the Experts!

Provider Enrollment Services is a company dedicated to providing cost effective solutions to the challenges of insurance enrollment, contract negotiations, Medicare/ Medicaid enrollment and physician credentialing. Provider Enrollment Services or PES, assists thousands of medical professionals every year with tasks such as new provider credentialing, CAQH credentialing, hospital credentialing, recontracting or enrollment maintenance services.  Insurance Enrollment can be a major challenge and if done wrong, can dramatically impact the cash flow of a practice.  THis is why it is so important to have competent help.  Help that understands how complete an application right the first time and read and negotiate payer agreements so you’re not handcuffed to a low rate for the next three years.  PES has the experience and tools required to quickly and accurately perform your physician credentialing and/or provider enrollment tasks.

For Hospitals

Our team of enrollment specialists have the experience and tools needed to ensure your facility & providers remain complaint with all contracted payers.  We handle all recredentialing, revalidations and new enrollments for hospitals from coast to coast.  Is Medicare or CAQH causing your facility issues or are payers taking too long to process your applications?  Regardless of the challenge, our team is here to help

For Mid-Levels

Are you a Nurse Practitioner or Physician Assistant hoping to enroll with insurance plans?  If so, we are here to help.  We have helped credential hundreds of mid-level providers across the country.  We can take you from start to finish with the payer enrollment process or just handle the recredentialing.  Regardless of your credentialing and enrollment needs, our team of dedicated credentialing professionals are here to assist.  

For Physicians

We have provided physician credentialing and provider enrollment services to over 1000 physicians in 49 states.  Whether you just need to be credentialed with a few health plans or need full start-up assistance, our team of experts are here to help.  No project is too big or too small for our dedicated team of insurance enrollment & credentialing specialists. 

For Therapists

We provide insurance enrollment and credentialing services to the following specialists: Physical Therapists, Occupational Therapists, Speech Therapists and Behavioral Health Therapists.  It would be our pleasure to assist you with getting enrolled in the health plans or handle any credentialing issues you may be experiencing.  

Why Choose Provider Enrollment Services?

There are a number of reasons for you to choose PES as your insurance enrollment and credentialing solution, but we’ll simplify it for you so you don’t end up on the wrong side of a contract.

 

I. We Have Been Doing This Longer Than The Competition

II. We Understand Payer Agreements & How They Affect Your Practice

III. Our Software & Service Makes Competition Look Like a 3rd World Solution

IV. We Have 30 Employees & Serve Over 1200 Providers Nationwide

V. Most of The Competition Were Fired By Us or Would Never Be Hired By Us

VI. Do You Really Need More

VII. Okay, Better Pricing, Better Payer Fee Schedules & Better Turn Around Times

provider enrollment services
Frequently Asked Questions

How long does enrolling in insurance plans take?

Does Medicare charge a fee for enrollment?

How long does Medicare enrollment take?

Do I need a CAQH ID?

Why do I need a CAQH number?

View the answers and more Frequently Asked Questions Here

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New Provider Enrollment Services

We specialize in the insurance enrollment and credentialing of new physicians, physician assistants, nurse practitioners and therapists. Whether you are right out of training, or been in practice for years, our firm of highly specialized and talented individuals can help you with your participation and contracting goals.

Provider Maintenance & Recredentialing

We help thousands of providers across the country keep their credentials maintained to ensure nothing falls through the cracks. Unfortunately, most organizations don't recognize there's a problem until it is too late and claims are getting denied. Don't let this happen to your organization and put your insurance maintenance and credentialing needs in the hands of experts.

Insurance Contract Negotiations

Have you renegotiated your insurance contracts in the past two years? Odds are that your'e being underpaid for the services your providing. With the increasing costs of doing business, it is more important than ever that you collect every possible dollar and renegotiating your contracts is a great way to stop leaving money on the table. Our team of experts typically obtain 5-10% increases for our clients and some times much more.

Medicare & Medicaid Consulting

Medicare and Medicaid can be a challenge even for the most seasoned pro. That's why it is important to partner with a team of experts that understands these entities and can assist you through the process of recovering your money or ensuring the application is completed correctly the first time. You cannot afford any mistakes and they are easy to make when dealing with government payers. Reduce your stress and have the assurance of knowing you're in the hands of experts.

CAQH Enrollment & Maintenance

Are you struggling to keep CAQH attested for your providers? Is the new interface causing your staff issues? We are here to help with these challenges and have been working with CAQH for nearly ten years. We know the system like the back of our hand and can streamline operations for your organization for a very affordable price. We help thousands of providers stay current and would love to help you.

Our Core Expertise:

Provider Enrollment Services

Insurance Enrollment Services

Physician Credentialing Services

Hospital Credentialing & Maintenance

CAQH Credentialing

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