New Provider
- Must credential with the insurance carriers you plan to accept for
reimbursements - RTMC can help meet these credentialing needs
Adding Additional/New Providers
- Each provider will need to be added and credentialed to the group contacts
- RTMC can help meet these credentialing needs
Adding New Insurance Companies
- Must credential when adding/accepting new insurance payers.
- RTMC can help meet these credentialing needs
NPI Verification
- Primary Source verification for providers to NCQA or Joint Commission
Standards.
Provider Enrollment
- To complete the credentialing process for the healthcare providers, becoming an
“in Network” provider
CAQH
- Create, Validate and Maintain providers CAQH profiles.
- Make sure documents are up to date.
- Make necessary changes as needed.
- Re-Attest the file on a regular basis. Re-Credential with Health Plans as needed.
Please allow 90 to 120 days for completion.
Credentialing Packages
Package 1 (ala carte)
Less than 5 payers
With billing service – $175 per payer
Without billing service – $350 per payer
Package 2
5 payers (including CAQH)
With billing service – $775
Without billing service – $1550
Package 3
10 payers (including CAQH)
With billing service – $1500
Without billing service – $3000