Credentialing & Enrollment

Medicare, Medicaid and commercial carrier enrollment

One enrollment project across Medicare, Medicaid and every commercial carrier you need.

Two administrators reviewing provider credentialing documents
The problem

Enrolling a provider or a new group means Medicare through PECOS, a separate Medicaid application in each state, and a different portal and timeline for every commercial carrier. Run separately, the applications drift apart, and the practice cannot tell which payers it can bill today.

What RevCureHealth does

We plan enrollment across all of your payers at once: which carriers the provider or group needs, the right order to submit in, individual and group applications, reassignments, and managed care plans. Every application is tracked in one place to an approved effective date, so billing knows exactly which payers are active.

Workflow
Step 1
Choose payers
Step 2
Plan the order
Step 3
Submit applications
Step 4
Follow up
Step 5
Confirm effective dates
What you get
  • Medicare, Medicaid and commercial carriers in one tracker
  • Individual, group and reassignment applications kept consistent
  • Effective dates confirmed before claims are sent
  • A clear list of which payers can be billed today
What you see

Nothing happens that you can’t see

Every service reports into the same dashboard, so the work and the result are in one place.

Executive Dashboard
Illustrative example
Total charges
$486,200
▲ 6.1%
Collections
$412,850
▲ 12.4%
Clean claim rate
96.8%
▲ 1.9 pts
Denial rate
7.1%
▲ 2.9 pts
Days in A/R
31
▼ 4 days
Revenue at risk
$42,800
18 accounts

Figures shown describe an example practice. They are not client results.

How much is Enrollment (Medicare, Medicaid & Commercial Carriers) costing you today?

The free assessment quantifies it, using your own claims, denials and A/R data.

  • No obligation, and you keep the findings either way
  • Under two minutes to request
  • No patient information needed to start
Get Your Free RCM Assessment