One of the nation's largest credentialing IPAs provides access to 54+ health plans and network provider enrollment options.
Delegated agreements greatly speed up the provider enrollment process.
Additionally, delegated enrollment provides a greater level of accuracy and oversight through team audits and accountability.
Implementation of Delegated Provider Enrollment Processes
As a messenger model IPA, we adeptly manage both Delegated and Non-delegated contracts, executing comprehensive administrative and functional responsibilities to expedite the completion of contract obligations. This efficiency ensures that providers can swiftly commence patient care and billing procedures.
In our Delegated contract engagements, we leverage streamlined credentialing and provider health plan enrollment processes to facilitate rapid completion. Conversely, our extensive experience and established relationships in Non-delegated health plan and network collaborations significantly enhance the speed and proficiency of credentialing and provider health plan enrollment.
Primoris maintains Delegated contracts with renowned health plans and networks, including Aetna, Humana, UnitedHealthcare, among others. These agreements enable us to employ a unified application process, using ONE application, to integrate providers more efficiently than conventional methods, which often require separate applications for each health plan. This expedited process allows providers to engage in patient care and billing sooner.
Continuously expanding, Primoris has extended its operations into new regions, including Missouri and Illinois, and continuously integrates new health plans and networks. For a detailed list of our Delegated health plans and networks, please refer to the information provided below.
Delegated contracts empower Primoris to streamline the addition of providers to health plans, surpassing the efficiency of traditional methods that require submitting individual applications to each health plan. This enhanced process significantly reduces the time to initiation, enabling providers to commence patient care and billing operations with greater expediency.
Delegated provider enrollment includes the following payers:
Implementation of Non-Delegated Provider Enrollment Processes
Primoris maintains non-delegated agreements for health plan enrollment with prominent payors such as BCBS, Community Care, and Medicare, among others. Our operations extend across various Midwest states, including Oklahoma, Missouri, and Illinois. For a comprehensive understanding of our entirely administered, non-delegated health plans and networks, please refer to the detailed information provided below.
Leveraging our extensive experience and established relationships with these health plans and networks, Primoris is positioned to offer enhanced processing efficiency in credentialing and health plan enrollment services for our IPA members. Our connections and expertise in this domain are instrumental in ensuring expedited and streamlined processes for our clients.
Primoris' non-delegated, fully administered provider enrollment includes payers like:
For detailed insights on credentialing and contracting processes, including updates from the National Practitioner Data Bank (NPDB) and various health plans, as well as guidance on navigating the Provider Enrollment, Chain, and Ownership System (PECOS), we invite you to explore our resources. Our award-winning credentialing blog offers a wealth of knowledge, including articles on medical malpractice, strategies for understanding and managing rising insurance premiums, and updates on federal healthcare regulations.
Additionally, our blog features informative content on accreditation organizations such as AAAHC, Joint Commission, URAC, and NCQA, along with valuable perspectives from our partnership spotlights.
For any inquiries or further information, do not hesitate to contact us. Credentialing with our expertise brings numerous benefits, and our dedicated team is here to assist you every step of the way.
Join 1000s of Providers
Join a vast network of healthcare providers by gaining 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. This opportunity offers an efficient and streamlined approach to manage your credentialing needs.