CREDENTIALING
PAYER ENROLLMENT
Initial Payer Application & Re-credentialing
MDCS serves as the liaison between the providers and payors until the credentialing process is completed. We work with providers of all specialties nationwide and can assist with credentialing for any health plan for example: Medicare, Medicaid, BCBS, Aetna, Cigna and more.
Out Of Network Enrollment
Our team helps with out of network (OON) enrollments, whether you choose to stay out of network with a payor(s) or because the network panel is closed. OON will allow you to start receiving out of network payments.
Contract Negotiation
Your reimbursement rate is too low, no problem! Let us know and we will renegotiate on your behalf.
Demographic update
Whether it is a simple address, bank account update, ERA & EFT set up, we can help you. We help with all simple and complex changes with all payors.
Panel Analysis/Network Research
The insurance network panel status change constantly and when starting or expanding a new practice, providers are frequently unaware of the panel status in their local market area. MDCS will perform a custom insurance payer analysis and determine which insurance panels are accepting new providers in your specialty and in your local market.
NPI/CAQH Setup & Maintenance
We maintain and keep your CAQH and NPI profiles up to date, making sure all your information is accurately profiled and compliant. Keeping your NPI and CAQH profiles is a necessity in today’s healthcare environment as most payors are getting the documents from CAQH.
HOSPITAL APPOINTMENT
Initial Appointment / Re-Appointment Application
MDCS can assist all Providers with their Hospital Appointments and Reappointments application process. Just tell us which hospital you are interested in and well do the rest.