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Credentialing
FMS offers credentialing
solutions tailored to your specific needs. We utilize
advanced technology to streamline the entire accreditation
process. In addition, a designated credentialing team
works hand-in-hand with you to gather all required documentation
to submit applications. This team oversees expiring
credentials and maintains up-to-date status information
on all applications. Our staff’s familiarity and
comprehensive understanding, along with the technical
tools available, provides us with the precision and
organization required to handle the credentialing process
demands. We also utilize the Universal Credentialing
DataSource, a software application provided by the Council
for Affordable Quality Healthcare (CAQH). We have developed
a system that integrates the features of these software
applications to make the credentialing process efficient
and timely.
The FMS credentialing team follows
the industry standards closely so that your operation
is always kept abreast of new developments in the credentialing
world. We maintain standardized forms, which are immediately
updated, when applicable, for the following carriers:
INSURANCE
CARRIERS |
Aetna |
Horizon |
| Affinity |
Hudson Health |
| Ameri Health |
Island Group Admin. |
| Atlantis |
Local 60 |
| B/C |
Local 199 |
| Beech Street |
Local 456 |
| Care Core |
Magnacare |
| CHN |
MDNY |
| Cigna/Aim |
Medicaid |
| Connecticare |
Medicare |
| Devon |
Multiplan |
| Elder Plan |
One Call |
| Empire Plan |
Oxford |
| Fildelis |
PHCS |
| First Health |
Pomco |
| GHI |
Suffolk Health Plan |
| Great West (Med Solutions) |
United Healthcare |
| Health First |
US Dept of Labor |
| Healthnet |
Vytra |
| HIP |
W/C |
All NPI applications are submitted
directly through the Centers for Medicare and Medicaid
Services.
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