Theo Healthcare

logo

Credentialing and Licensing Services

We’re all about supporting healthcare professionals, making their lives easier by streamlining the whole medical credentialing and enrollment process. Our goal is to free up their time and energy so they can concentrate on what truly matters – saving lives.

Blue-HVAC-Service-Repairs-Instagram-Post-1-min

Our Credentialing Services

Medicare and Medicaid Provider Enrollment

We help healthcare providers join Medicare and Medicaid, so they can serve eligible beneficiaries under government programs.

Commercial Insurances’ Credentialing

Our team guides healthcare providers through insurance credentialing, enabling them to join networks and get paid for services.

NPI Registration (Type I and Type II)

We manage NPI registration for individuals and organizations, streamlining essential identification needed for billing and claims.

CAQH Registration and Maintenance

We assist in CAQH profile registration and maintenance, simplifying data collection for health plans.

Hospital Privileges

We support healthcare providers in gaining hospital privileges for expanded patient care and treatment capabilities.

Contract Negotiation

Our team excels in negotiating insurance contracts for providers, securing favorable terms, higher reimbursements, and less administrative burden.

Revalidation & Recredentialing

We assist providers in revalidation and re-credentialing, ensuring ongoing compliance and active status with payers.

PECOS Registrations

Streamline your credentialing and licensing with our PECOS registration services. Simplify your medical practice management today.

Reimbursement Issues Audit

We conduct comprehensive reimbursement audits, identifying and resolving issues to optimize revenue and reduce potential losses.

Providers State License

We help healthcare providers obtain and renew state licenses, ensuring compliance within specific jurisdictions' regulatory frameworks.

DEA Certificate & Renewal

Our services include DEA certificate applications and renewals, allowing providers to handle controlled substances for their specialty.

Demographics Updates

Stay current with seamless demographic updates for your medical practice. Keep patient records accurate and efficient.

Provider Credentialing Services

Credentialing & Contracting

Expand your patient reach and grow your practice with our expert physician. We save your time and hassle, while maximizing revenue potential.

Contracting Issues & Data Integrity

We address any contracting issues and maintain the integrity of data through regular audits.

Dedicated Team

Our dedicated team compiles and submits medical credentialing data to commercial and government payers, upon physicians' requests.

Follow Ups

As a medical credentialing service provider, we ensure proper follow-up procedures for a smooth enrollment process.

PECOS & CAQH Registrations

We build and maintain CAQH & PECOS credentialing portals, keeping them up to date for you.

Compliance

Our provider credentialing services guarantee compliance with the National Committee for Quality Assurance (NCQA) standards.

Benefits of Our Physician Credentialing Services

Blue-HVAC-Service-Repairs-Instagram-Post-530-×-380px-15-min

Streamline Your Workflow

Say goodbye farewell to tedious manual tasks. Our physician credentialing services free up weeks of repetitive work.

Empower Your Staff

Free your staff from tedious paperwork and endless applications. Our services give them the freedom to engage in valuable tasks.

Minimize Risk, Maximize Revenue

Remove insurance follow-up headaches and minimize revenue loss risks with our expert credentialing.

Unlock Patient Growth

Boost patient referrals and grow your practice. Let your practice thrive and attract more patients.

Accelerate Payments

Speed up payments and enhance cash flow with our streamlined provider credentialing services, enabling faster payments.

Comprehensive Support

Experience a comprehensive service, from gathering info to submissions, follow-ups, and communication via emails and faxes.

24/7 Access

Our online platform offers 24/7 document access and real-time application updates.

Personalized Attention

Our award-winning customer service ensures you're in capable hands.

Blue-HVAC-Service-Repairs-Instagram-Post-530-×-380px-31-min

Provider Credentialing Services

icon
Physicians
icon
PAs/ NPs
icon
Hospitals
icon
Behavioral Health Providers
icon
Cardiology
icon
Dermatology
icon
General Surgery
icon
Gastroen-terology
icon
Ambulatory Surgery
icon
Neurology
icon
Pain Management
icon
Podiatry
icon
Internal Medicine
icon
Sleep Medicine
icon
Behavioral Health
icon
Psychiatry
icon
Endocrinology

Let’s Get in Touch

Call Now Button