Payer Enrollment Services

Alveo

Capabilities

Payer Enrollment Services

Managing payer enrollment applications is complex and time consuming because the rules and guidelines constantly change across payers. Alveo understands the payer enrollment process and we know what you need to get started and remain in good standing.

getting started

Core Services

Payer enrollment
Collecting and cataloging provider demographics and documentation
CAQH updating and on-going proactive management
Managing practitioner and group status with payers for inclusion in payer plans
Provider NPI and network status research and verification

Provider enrollment needs

Alveo’s team of experts can save your practice time and money by handling all your provider enrollment needs, including:

CAQH registration and maintenance
Commercial insurance provider enrollment
Medicare and Medicaid provider and group enrollment
Medicare and Medicaid provider and group revalidation
Routine application follow-up, reporting, and demographic updates

RESEARCH AND VERIFICATION

Our team of specialized experts can quickly verify your providers’ network status and discover any gaps where you may be losing revenue.

ROSTER RECONCILIATION

CMS requires that payer directories be kept up-to-date to ensure patient access to healthcare. Our team always maintains a database of your providers’ demographic information to ensure that this information is readily available when requested.

CAQH PROVIEW™

Commercial payers, Medicaid and healthcare networks rely on CAQH Proview™ for credentialing and recredentialing. Alveo helps you maintain accurate data and records in CAQH Proview™ to ensure precise, timely information.

WORLD CLASS PAYER ENROLLMENT TEAM

We build a personal relationship over time to provide valuable guidance to you
Solve your problems with amazing speed
Experienced, Cincinnati-based support team

getting Payer Enrollment done on time and accurately is critical

All healthcare practitioners who bill insurance companies to receive reimbursement for their services must undergo the payer enrollment process. The enrollment process exists to link providers to payers, where contracts are already established to ensure providers receive payment. Criteria include:

Education
Board Certification
Work History
Current State License
Current Malpractice Insurance Policy

Current DEA License
Clinical Privileges Validated
Sanction History
Claims History

Proactive management and secure databasing with Intelliapp software

Alveo uses IntelliApp software to manage the overwhelming tasks involved

Provides our clients a secure database to store provider documents and other information from primary sources
Quickly identifies missing information or documents that we will help you identify and report on
Manage provider data and workflow actions for provider enrollment under multiple Tax IDs
Enables Alveo to manage your payer enrollment forms proactively and efficiently for our clients