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Discover Primoris Credentialing Network’s enhanced provider enrollment services. Offering both delegated and non-delegated options, we streamline the process for our providers.
Experience reduced paperwork with a single application for delegated enrollment and benefit from our deep connections for non-delegated plans. Learn more about our efficient enrollment solutions with major health plans like Aetna, Humana, and UnitedHealthcare.
The Primoris Credentialing Network offers comprehensive enrollment services, including both delegated and non-delegated options, as a leading member of one of the largest credentialing IPAs in the country. We handle all the necessary administrative and operational tasks to expedite contract completion, ensuring that providers are able to initiate patient care and billing with minimal delay.
For delegated enrollment, the process is streamlined with reduced paperwork requirements, including the use of a single enrollment application. Additionally, our providers benefit from non-delegated plan enrollment options. While this may involve more documentation, our long-standing relationships and deep understanding of the health plans and network contacts significantly simplify the process.
At Primoris, our delegated payer enrollment process sets us apart. We maintain contracts with a variety of major health plans and networks, including notable names like Aetna, Humana, and UnitedHealthcare. These delegated contracts are pivotal in streamlining the provider enrollment process. By having these agreements in place, we can significantly expedite the addition of providers to these networks, bypassing the often time-consuming traditional method that requires submitting separate applications for each health plan.
This not only saves time but also reduces the administrative burden on providers. Our approach ensures a faster transition to patient care and billing, a crucial aspect for healthcare providers. To understand the full scope and benefits of our delegated health plans and networks, we encourage you to explore further details on our website listing our delegated health plan and network provider enrollment options.
In addition to our delegated services, Primoris excels in non-delegated payer enrollment. This area requires a more nuanced approach, given the varied requirements and procedures of different health plans and networks. We offer tailored support and comprehensive guidance throughout this process, leveraging our vast network and in-depth industry expertise. Our team works closely with each provider to navigate the complexities of non-delegated plan enrollment, ensuring a smooth and efficient process.
This includes assistance with documentation, understanding specific health plan requirements, and providing ongoing support. Our goal is to make non-delegated payer enrollment as seamless as possible, minimizing the administrative load and expediting the path to active provider status. Learn more about how we can assist with your non-delegated health plan and network enrollment needs.
Primoris offers its provider clients an advanced credentialing web portal tailored to manage all aspects of credentialing and enrollment. This secure platform enables members to efficiently track, access, and report on various elements, including provider credentials and health plan applications.
The portal is designed for secure data management, offering better provider enrollment features such as real-time tracking of health plan enrollment status, submission and receipt of applications, and access to historical and current rosters, all within a user-friendly interface.
The web portal stands out as a significant member benefit due to its high level of customization. It facilitates administrative control by allowing individual administrator logins, which display health plan participation status and credentialing data. The customizable nature of the portal empowers administrators to actively manage rosters, modify health plan enrollment requests, order and cancel files, request expedited processing, and update application documents.
Moreover, the portal assures secure and continuous accessibility to all provider credentials and health plan applications. Discover the full capabilities of our Credentialing Web Portal and learn how it can streamline your administrative processes.
At the heart of our services is the commitment to simplify the complex processes of credentialing and plan enrollment. We achieve this by offering our providers a Single-Point-of-Contact and streamlining the application procedure.
Our efficient system allows providers to complete just ONE application for approximately 25+ delegated payers, expediting the process and reducing frustration. This is truly an important part of delivering on our promise to our providers of offering a better provider enrollment experience!
Beyond the single application for delegated plans, we provide a unified ecosystem for all member data and information. In the Primoris member web portal, all provider data, activities, credentialing, and health plan enrollment details are meticulously logged and securely stored.
We also simplify budgeting for our members. The credentialing costs for Primoris members are fixed and predictable, mitigating the financial uncertainties often associated with employee turnover. Discover additional potential cost-cutting financial gains by streamlining your credentialing process. For more detailed calculations, visit our Credentialing Calculator.
Providers gain the advantage of a single contact point for all health plans, ensuring streamlined communication and support.
Our approach is rooted in simple efficiency, backed by extensive experience. With over 385 years of collective experience and over 63% of our team possessing more than a decade of experience each, we offer unparalleled efficiency in managing both credentialing and non-delegated plans.
Our unique position as one of the few credentialing IPAs with NCQA Credentialing Accreditation reflects our commitment to excellence. We leverage our extensive knowledge, expertise, and established relationships to simplify and enhance your experience.
Delve into a wealth of knowledge on the credentialing industry with our comprehensive blog. Stay informed with the latest Federal Healthcare Updates, including important updates on COVID-19, advancements in telehealth, and insights into delegated credentialing. Our blog also keeps you abreast of health plan news and provides valuable information from leading accreditation bodies like AAAHC, NCQA, and URAC.
Our credentialing blog extends beyond news updates, offering educational articles on a range of pertinent topics. These include the advantages of utilizing PECOS, pivotal issues such as the impact of Ai + Blockchain on Credentialing, understanding topics such as HEDIS, Medical Professional Liability Insurance (MPLI), and essential medical malpractice information. Gain credentialing insights and practical tips tailored for both urban and rural providers.
Discover enlightening articles that demystify delegated provider enrollment, and gain personal perspectives from our team and insights into our Fifth Avenue partnerships.
Visit our credentialing blog for these insights, or reach out to us with any queries you may have. Partnering with us for your credentialing needs offers better provider enrollment with numerous benefits. We are dedicated to assisting you through every step of the process.
Join a growing community of thousands of providers and gain access to our comprehensive credentialing web portal. Simplify your provider enrollment process with our platform that connects you to over 54 health plans and networks, streamlining your administrative tasks efficiently.