Certify provider network management
  • Products
  • Clients
  • Company
  • Resource Library

Finding the Right Vendor for Provider Licensing and Payor Enrollment

test alt

Learn how to identify a partner that keeps up with evolving healthcare requirements and meets your organizational needs.

Telemedicine and virtual care models are scaling fast—and so are the regulatory frameworks that govern how they operate. As a leader in digital health, you’ve likely found that evolving licensing and enrollment requirements are standing between your organization and its full potential for growth.

Partnering with an experienced third-party service can help you clear these necessary hurdles more efficiently and effectively. In fact, the right vendor will help you optimize each critical process by reducing manual interventions, automating key workflows, and trimming administrative costs. Ultimately, that means not only better outcomes, but a healthier bottom line.

To maximize benefits, you need a best-in-class partner that can license and enroll providers quickly while meeting industry standards. But how do you know if a vendor is up to the task?

We’ve put together a helpful guide to help you identify a capable, experienced vendor. The key is having a list of strategic questions you can ask before you finalize your partnership.

In our guide, you’ll learn how to identify provider licensing and payor enrollment solutions that:

  • Maintain accessible, up-to-date licensing workflows by state and provider type, so your providers are licensed quickly and with the proper procedures in place
  • Streamline key processes like data collection, fingerprinting, and document notarization, so your providers’ information is gathered and submitted swiftly, and it won't fall on your administrators to chase down missing materials
  • Make pricing structures transparent, so you won’t be surprised by hidden pass-through fees and unexpected costs
  • Automate payor enrollment forms and submissions, so negotiation and credentialing phases run as efficiently as possible, reducing lengthy contracting timelines
  • Provide plan-level insights, so you can limit enrollment efforts to plans with favorable reimbursement rates and sufficient capacity
  • Offer advanced options like delegated credentialing to support your growing provider network
Share this article:
xLinkedIn

RELATED ARTICLES

See All Articles
  • Blog
    A “Human Automation” Reality Check
    8/17/22
    Blog
    For many traditional IT solutions, “human automation” and outsourcing are at the center of provider network management.
  • Blog
    The “One & Done” CAQH Integration Myth
    8/12/22
    Blog
    A common myth we’ve come across in the provider network management industry is that a vendor’s CAQH integration can fast-track your payor enrollment and credentialing processes.
  • Blog
    Evading the Pitfalls of Provider Credentialing
    11/22/22
    Blog
    Health insurers grapple with many credentialing pain points on a daily basis.
See All Articles