M&M Claims Care

Comprehensive Insurance Credentialing Services for Healthcare Providers

If you are struggling with insurance credentialing then you never need to take headaches, M&M Claims Care provides you with unique insurance credentialing services.

M&M Claims Care - Insurance Credentialing Services

Credentialing is a lengthy and complex procedure with a lot of verifications and documentation. Patients also prefer those healthcare providers that accept insurance for payment and avoid those who cannot, ultimately causing the profit to be lost which they bring to you. To save this revenue you need a partner like M&M Claims Care that handles all your credentialing services and provides your patient with a stress-free environment. Credentialing is not just a service instead it helps to establish credibility and trust within the industry. M&M Claims Care provides physician and healthcare provider credentialing services in the 50 states of the US and simplifies each process so you can give more time to your patients. 

credentialing services

How does M&M Claims Care Simplify Credentialing Services?

M&M Claims Care is an experienced medical billing company in the US and has provided medical insurance credentialing services for years. Whether you are an independent contractor, associate, counselor, therapist, or have your own practice, M&M Claims Care provides you with a comprehensive solution for credentialing. Our services help you to attract more patients. We help to:

Increase your revenue

Save staff and your time

Reduce your stress

Improve patient credibility

What is Insurance Credentialing?

Healthcare providers need licenses, certifications, and professional backgrounds to confirm that they meet the standards and are eligible to get reimbursement for the services provided. This process is called an insurance credential. Insurance networks approve healthcare providers and when they provide services to patients then insurance companies directly pay them for the services they provide. The verification process takes the time up to 30 to 180 days and M&M Claims Care helps you save the time that you spend to get credentials and provides you with outstanding credentialing services. 

insurance credentialing

Our Credentialing Services

We want you to get the payment for the services you have provided as we know only the credentialing providers are eligible to get the payments from the payer. That’s why M&M Claims Care provides you with credentialing and enrollment services to fulfill the needs of healthcare providers across different specialties. 

NPI Registration Assistance

The Centers for Medicare & Medicaid Services (CMS) assign a unique identification number known as the National Provider Identifier (NPI) to healthcare providers. This number consists of 10 digits and serves as a universal identifier for healthcare providers. We help Individuals (Type 1) and Organizations (Type 2) to get their NPI. This NPI helps to ensure that accurate information is submitted that simplifies billing, reporting, and insurance claims. 

Insurance Panel Applications

We guide providers through the paneling process with commercial and government insurance networks. This application increases their chances of acceptance into desired insurance plans. This helps healthcare providers to reach a large number of patients. When they join an insurance plan they get an agreement with health insurance companies and become a part of that insurer.  

Provider Enrollment & Credentialing

We start our process with the providers’ enrollment in Medicare and Medicaid programs. This enrollment helps you to increase your revenue by compiling with federal and state regulations. To fulfill the criteria for approval, M&M Claims Care credential providers with commercial insurance payers that provide different networks and plans for their customers. These private health insurers help healthcare providers to negotiate better payment rates.

Medicare & Medicaid Enrollment

We manage the complex Medicare and Medicaid enrollment process. Whether you are an individual practitioner, group practice, or healthcare facility we help you to enroll with the largest US insurance networks. We help you comply with federal and state regulations so that you can serve a broader patient base and maximize the revenue for your practices.

CAQH Registration & Maintenance

The largest online database that collects and verifies the provider information for credentialing services is called the Council for Affordable Quality Healthcare (CAQH). We register healthcare providers to CAQH and maintain their up-to-date profiles like their job history, malpractice history, education, training, license, and other details. We provide complete and correct information that complies with payer requirements to avoid credentialing delays. This registration helps healthcare providers to improve the credentialing process with different health plans.

Ongoing Credentialing & Revalidation

Credentialing is not a one-time process that’s why at M&M Claims Care we provide continuous monitoring and updates to ensure compliance with insurer and regulatory requirements. We also manage revalidation and re-credentialing processes to prevent disruptions in reimbursement. Healthcare providers can maintain their eligibility and can save from penalties with the help of our ongoing credentialing services. We also find and resolve those issues that affect your revenue cycle. 

Why Choose M&M Claims Care?

M&M Claims Care is an experienced medical billing company that has handled all the credentialing services for years. We work to optimize your revenue cycle management and increase the efficiency of your processes. Our insurance credentialing specialists are dedicated to delivering outstanding results and ensuring financial success for our clients.

Latest Billing Tools: We process claims through automated software so each claim takes less time and must be error-free.

Affordable Costs: M&M Claims Care provides cost-effective credentialing solutions that help healthcare providers increase revenue without excessive overhead costs.

HIPAA Compliant: M&M Claims Care is a HIPAA-compliant insurance credentialing company that ensures all your patient data is saved and protected from unauthorized access.  

Customized Billing Processes: We consider every healthcare practice unique which is why we provide customized credentialing billing solutions according to specific needs.

Real-time Insights: We provide you with real-time insights to show the overall performance of your practice revenue trends. 

Experienced team of Professionals: We have a certified team of professionals that stay updated with the latest billing and coding regulations so your practice does not face any penalty or fine.

Benefits of Choosing M&M Claims Care

When you partner with M&M Claims Care then we provide you a complete solution so you never need to go anywhere. We provide:

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