Professional Provider Credentialing Services
At MNT Systems, we understand that provider credentialing is a complex, time-consuming process that’s critical to your practice’s revenue stream. Our comprehensive credentialing services ensure your providers are enrolled with insurance payers quickly and accurately, so you can start seeing patients and receiving reimbursements without delay.
Professional Provider Credentialing Services
At MNT Systems, we understand that provider credentialing is a complex, time-consuming process that’s critical to your practice’s revenue stream. Our comprehensive credentialing services ensure your providers are enrolled with insurance payers quickly and accurately, so you can start seeing patients and receiving reimbursements without delay.
Our Complete Credentialing Solutions Include
Initial Provider Credentialing
- Complete application preparation and submission to insurance networks
- Primary source verification of education, training, and licensure
- Work history verification and gap analysis
- Board certification verification
- DEA and state license validation
- Hospital privileges documentation
- Malpractice insurance verification
CAQH Profile Management
- Initial CAQH profile creation and setup
- Ongoing profile maintenance and quarterly attestation
- Document updates and expiration tracking
- Real-time monitoring for payer requests
NPPES & NPI Management
- National Provider Identifier (NPI) application and creation
- NPI Type 1 (Individual) and Type 2 (Organizational) enrollment
- NPPES profile updates and maintenance
- Taxonomy code selection and verification
State Licensing Services
- New state license applications
- License renewal tracking and processing
- Multi-state licensure coordination
- Controlled substance registration (DEA)
- State-specific requirement compliance
Credentialing Revalidation
- Timely revalidation submissions (typically every 3-5 years)
- Proactive deadline monitoring
- Updated documentation gathering
- Re-attestation management
Insurance Portal Setup & Management
- Secure provider portal registration
- EDI (Electronic Data Interchange) enrollment
- ERA (Electronic Remittance Advice) setup
- EFT (Electronic Funds Transfer) configuration
- Clearinghouse integration
Ongoing Monitoring & Maintenance
- Expiration date tracking (licenses, certifications, insurance)
- Sanction screening and exclusion list monitoring (OIG, SAM, EPLS)
- Provider roster management
- Location and demographic updates
- Automated alerts for upcoming renewals
Practice Changes & Updates
- New location additions
- Provider demographic changes
- Group affiliation updates
- Ownership or tax ID changes
Practice name modifications
Why Choose MNT Systems for Credentialing?
✓ Faster Enrollment – Average 60-90 day turnaround time ✓ Dedicated Credentialing Specialists – Experienced team handling your applications ✓ Proactive Communication – Regular status updates and follow-ups with payers ✓ Error-Free Submissions – Thorough review process to prevent delays ✓ Complete Transparency – Real-time tracking and reporting ✓ Compliance Assurance – Stay current with all regulatory requirements
Our Credentialing Process
- Information Gathering– Collect all required provider documentation
- Application Preparation– Complete all forms accurately and thoroughly
- Submission & Follow-up– Submit to payers and track application status
- Status Updates– Keep you informed throughout the process
- Enrollment Confirmation– Verify effective dates and billing capabilities
- Ongoing Management – Monitor and maintain credentials continuously
