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Getting a healthcare provider or a group on board with an insurance company is vital in ensuring they can bill and receive payments for their valuable services. However, each insurance company has its own process for credentialing these providers within their network.

That’s where we step in!

AaNine’s Provider Credentialing Services specializes in helping providers and groups navigate the complex contracting process with insurance companies. This allows them to efficiently bill and receive payment from insurance companies for their services.

At AaNine, we’ve developed our proprietary Credentialing tool, ACS, designed to effortlessly track the entire workflow of all providers undergoing credentialing. Our specialized team takes charge of liaising with insurance companies to understand their specific requirements for getting providers or groups credentialed within their networks.

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Who we serve

Our Services

Provider Data Maintenance

AaNine keeps your provider information organized and current effortlessly. Our system houses a comprehensive database encompassing everything from provider demographics to their work history and essential documents.

Form Generation

We complete and submit the required applications to various insurance companies, including Medicare and Medicaid, on behalf of the provider.

CAQH (Council for Affordable Quality Healthcare)​

CAQH (Council for Affordable Quality Healthcare)​ is a platform utilized by commercial insurance companies to access provider information necessary for credentialing. We ensure the provider’s CAQH is regularly updated and re-attested every 120 days without any lapses.

Follow-up

Our team will consistently follow up with the insurance company to check the status of the submitted application until it receives approval.

Scope of Our Services​

Our team of experts who specialize in DRG and procedural coding, data entry, and ICD-10 are compliant with the HAAD adjudication rules and follow the standard HAAD coding manual. Their coding expertise cover specialties and sub-specialties such as radiology, surgery, emergency department, anesthesiology, among others.

 

 

Credentialing Application Processing

Primary Source Verification

Provider Follow-up

Re-Credentialing

Credentialing Compliance

Why Choose Us

Assessment

Our team thoroughly investigates the needs and prerequisites outlined by the insurance company to ensure a smooth credentialing process.

We gather and meticulously compile all necessary documents and credentialing applications required by the insurance company.

AaNine’s experts submit the compiled information and applications to the insurance company, ensuring compliance with their precise guidelines.

We keep a close eye on the process, following up with the insurance company as needed to ensure a timely and successful credentialing outcome.

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Our goal is to simplify this often complex process for you. With our dedicated team and specialized tools, we aim to make provider credentialing efficient and hassle-free, allowing healthcare professionals to focus on what truly matters – delivering exceptional care to patients. Count on AaNine to navigate the dynamic world of provider credentialing with expertise and precision.

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