Insurance Payer Enrollment Services
Commercial and government enrollment, sequenced so providers go live on the payers that matter first.
Simplify Insurance Network Enrollment with ZechionMed
Enrolling with insurance companies is among the most vital and frequently the longest-running, and time-consuming, processes for healthcare professionals. Inadequate enrollment time can delay payment, hinder access for patients and reduce the revenue.
ZechionMed offers a full range of insurance Payer enrollment services for medical providers including hospitals, physician groups as well as ambulatory facilities and other healthcare institutions across all across the United States. Our skilled credentialing specialists oversee each stage through the registration process, assisting healthcare providers become eligible providers for private insurers as well as government healthcare programs, while also ensuring the current requirements of payers and CMS regulations.
When you're opening your first practice, adding more providers or expansion into other states or joining other insurers, ZechionMed streamlines the enrollment process to allow your staff to remain focused on providing care to patients.
What We Cover
Government Program Enrollment · TRICARE Enrollment
Commercial Insurance Payer Enrollment
National Commercial Payers We help providers enroll in major insurance networks for businesses throughout the United States.
- UnitedHealthcare
- Aetna
- Cigna Healthcare
- Humana
- Blue Cross Blue Shield (BCBS)
- Elevance Health (Anthem-affiliated plans where appropriate)
- Molina Healthcare (Commercial Products)
- Kaiser Permanente (where provider enrollment is accessible)
- MultiPlan
- First Health Network
- Regional PPO Networks
- Employer-Sponsored Health Plans
- State-Specific Commercial Insurers
Commercial Insurance Payer Enrollment
Commercial Enrollment Services
- New provider enrollment
- Group practice enrollment
- Individual provider enrollment
- Multi-location enrollment
- Multi-state enrollment
- Participation in a specialty provider
- Facility enrollment
- Participation in an additional provider
- Tax ID association
- Locations for practice and additions
- Provider roster updates
- Support for contract initiation
- Assistance with revalidation
- Updates to the provider directory
- Network participation monitoring
Government Program Enrollment
- We assist providers in registering for federal and state health programs.
Government Program Enrollment · Medicare Enrollment
- CMS Medicare enrollment
- PECOS enrollment assistance
- Individual provider enrollment
- Group enrollment
- Transfer of benefits
- Medicare revalidation
- Medicare reactivation
- Changes in information submitted
- Practice location updates
- Updates to Ownership
Government Program Enrollment · Medicaid Enrollment
- State Medicaid enrollment
- Managed Medicaid enrollment
- Medicaid Revalidation
- Multi-state Medicaid enrollment
- Medicaid provider updates
- Practice expansion enrollment
- Ownership change requests
- Group participation updates
Government Program Enrollment
Medicare Advantage Enrollment
- Medicare Advantage Organizations (MA Plans)
- Medicare Advantage PPOs
- Medicare Advantage HMOs
- Dual Eligible Special Needs Plans (D-SNP)
- Institutional SNP participation
- Regional Medicare Advantage networks
Government Program Enrollment
Managed Medicaid Plans
- Medicaid Managed Care Organizations
- Managed care plans with state-contracted contracts
- Behavioral health Medicaid plans
- Children's Medicaid programs
- Regional Medicaid networks
Government Program Enrollment · TRICARE Enrollment
- TRICARE provider enrollment
- Participation in healthcare for military personnel
- Provider updates
- Use information management to manage your practice
- Continuous enrollment maintenance
What We Cover
Enrollment Maintenance
Payer Application Preparation
- We efficiently prepare enrollment forms while minimizing the time due to inaccurate or incomplete information.
- Services Include
- Application preparation
- Electronic enrollment
- Paper enrollment support
- Verification of information about the provider
- Supporting documentation review
- Attachment preparation is required.
Enrollment Submission
- We handle the entire submission process from beginning to end.
- Services Include
- Electronic submissions
- Portal submissions
- Paper application mailing
- Document packaging
- Submission confirmation
- Tracking submissions with proof of receipt
Enrollment Status Tracking
- Our experts monitor each application until it is completed.
- Tracking Includes
- Monitoring the status of an application
- Weekly pay-check follow-up on the payment
- Escalation management
- The issue is pending resolution
- Monitoring the processing timeline
- Approval confirmation
Missing Information Resolution
- We can help you resolve common issues with enrollment prior to them causing delays in approval.
- Support Includes
- Licenses not in use
- Expired certifications
- Applications that are not complete
- Tax documents
- CAQH discrepancies
- Signature deficiencies
- Issues with verification of credentials
- Supporting documentation requests
Payer Communication Management
- Our credentialing specialists are in direct contact with enrollment departments of payers in your name.
- Support Includes
- Follow-up calls
- Secure email correspondence
- Portal communication
- Documentation responses
- Case management
- Escalation requests
- Resolving the issue of enrollment
Enrollment Maintenance
- Once we have received approval, we keep providing support to providers through regular maintenance.
- Services Include
- Demographic information
- Address modifications
- Changes to Tax ID
- Additional providers
- Practice expansions
- Updates to the network
- Termination of a provider
- Enrollment revalidation reminders
Provider Types We Support
Independent Physicians
- Multi-Specialty Medical Groups
- Primary Care Practices
- Specialty Practices
- Nurse Practitioners
- Physician Assistants
- Behavioral Health Providers
- Mental Health Professionals
- Physical Therapists
- Occupational Therapists
- Speech Therapists
- Chiropractors
- Optometrists
- Ophthalmologists
- Dentists (where payer programs are in effect)
- Podiatrists
- Home Health Agencies
- Ambulatory Surgery Centers (ASCs)
- Diagnostic Imaging Centers
- Laboratories
- Durable Medical Equipment (DME) Suppliers
- Hospitals
- Telehealth Providers
- Rural Health Clinics (RHCs)
- Federally Qualified Health Centers (FQHCs)
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What We Cover
Ongoing Maintenance
Application Preparation
- Our experts prepare accurate payee applications as well as supporting documents.
Enrollment Confirmation
- We confirm active participation and confirm the completed enrollment.
Ongoing Maintenance
- We help with updates as well as revalidations and changes to enrollment.
Benefits of partnering with ZechionMed
Accelerate the onboarding process for providers.
- Reduce administrative burden associated with enrollment
- Increase the accuracy of applications
- Streamline communication with the payers
- Centralize enrollment documentation
- Support multi-state expansion initiatives
- Reduce the time taken by delays due to incomplete submissions
- Coordination of enrollment of new provider and purchase
- Increase readiness for auditor audits and cycle of revalidation
- Staff can concentrate on the patient's care
- Flexible support for hospitals, practices and large healthcare enterprises
Frequently Asked Questions
Processing times differ by the payer and program. Commercial plans could take anywhere from weeks to a few months While Medicare, Medicaid, and managed care organizations adhere to their own timeframes for processing. ZechionMed continuously monitors the applications and monitors the process.
Contact ZechionMed
Talk to ZechionMed
Talk to ZechionMed about insurance payer enrollment services.