Credentialing Services That Align with Your Business Growth
Our mission is to help clients maximize their financial performance through efficient and effective medical billing services. We utilize the latest Electronic Health Record (EHR) software and technology-driven methods to streamline billing, transcription, and management of various healthcare services.
Our billing and coding team stays up to date with the latest industry standards, including CPT and ICD-10 coding systems, ensuring accuracy and compliance. With over 10 years of experience and a growing portfolio of more than 200 satisfied clients, ClaimFlux LLC is your trusted partner for comprehensive, reliable, and expert medical billing services.
What Makes ClaimFlux LLC Different?
At ClaimFlux LLC, we live and breathe medical billing every day. Our expert team has the skills and knowledge to navigate the complexities of healthcare billing and reimbursement systems quickly and efficiently. We guide you and your providers through the enrollment and credentialing process, ensuring you maintain your status and compliance once enrolled.
We are well-versed in completing the detailed paperwork required by a wide range of payors, including commercial carriers, government programs, and private insurers. When issues arise, we know exactly who to contact and how to resolve them swiftly to keep your practice running smoothly.
ClaimFlux LLC also offers comprehensive enrollment and credentialing services across a broad spectrum of specialties. We strictly adhere to the credentialing standards and guidelines set by the National Committee for Quality Assurance (NCQA) to ensure complete compliance and satisfaction.
Our highly skilled team manages major provider enrollments and credentialing processes, so you can focus on delivering excellent patient care while we handle the administrative complexities.
The Importance of Credentialing.
Credentialing is a critical process that ensures the quality and safety of healthcare services. According to the National Committee for Quality Assurance (NCQA), properly credentialed healthcare providers are less likely to cause medical errors or patient harm. Credentialing also offers patients and their families confidence and peace of mind by verifying that providers are certified, qualified, and skilled in their respective specialties.
Credentialing Requirements
Credentialing requirements can vary widely depending on the state, county, medical facility, and insurance carrier. Some of the major credentialing components we manage for our clients at ClaimFlux LLC include:
- Education and training verification
- Hospital affiliations
- State medical licenses
- DEA licenses
- Provider enrollment applications
- Board certifications
- Malpractice insurance certificates
- Sanctions and disciplinary disclosures
- Criminal background checks
- Background screening
- Military service verification
- IRS documentation (e.g., tax-exempt status)
CAQH Credentialing
The Council for Affordable Quality Healthcare (CAQH) simplifies the credentialing process, helping healthcare providers get credentialed more quickly to accept health insurance—saving valuable time and resources. CAQH also ensures that providers meet necessary standards and hold the appropriate certifications.
At ClaimFlux LLC, we have extensive experience navigating the CAQH credentialing process and can assist you in meeting all requirements for a smooth, efficient credentialing experience.
Our credentialing team is highly skilled in understanding the latest regulations and compliance standards necessary to maintain credentialing and secure insurance reimbursements. We work closely with you to develop a tailored credentialing plan that aligns with your practice’s unique needs and goals.
Based in Montana, ClaimFlux LLC offers a comprehensive suite of credentialing services for physicians and healthcare providers, covering all major commercial insurance carriers, including:
• Aetna
• Anthem
• Blue Cross Blue Shield (BCBS)
• Cigna
• Tricare
• Humana
• UnitedHealthcare
• And more
We also assist with Medicare and Medicaid enrollment and revalidation, CAQH registration, NPI registration, and resolving issues related to reimbursements and managed care contracts.
Our experienced team is ready to guide you through the credentialing process swiftly and effectively.
Contact ClaimFlux LLC today to learn how we can support your credentialing needs and help your practice thrive.
